WE DO PRE-EMPLOYMENT DRUG TESTING

Prospective employees will receive consideration without discrimination because of race, creed, color, sex, national origin, handicap, or veteran status.

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1 Step 1
PERSONAL
Last Name
First
Middle
Date
date_range
Street Address
Home Telephone
City, State, Zip
Business Telephone
Have you ever applied for employment with us?
If yes: Date
date_range
Position you are applying for
Position Desired
Pay Expected
Apart from absence for religious observances, are you available for full time work?
If not, what hours can you work?
Will you work overtime if asked?
Are you legally eligible for employment in the United States?
When will you be available to begin work?
Other special training or skills (languages, machine operation, etc)
EDUCATION
Graduate School
Name & Location
Course of Study
No. of Years Completed
College
Name & Location
Course of Study
No. of Years Completed
Business/Trade/Technical
Name & Location
Course of Study
No of Years Completed
High School
Name & Location
Course of Study
No. of Years Completed
Elementary School
Name & Location
Course of Study
No. of Years Completed
Membership in Professional or Civic Organizations(Exclude those which may disclose your race, color, religion, or national origin)
0 /
EMPLOYMENT
1. Company Name
Telephone
Address
Employment Dates (State month and year)
Name of Supervisor
Weekly Pay (starting and ending)
Job Title and Describe Your Work
0 /
Reason for Leaving
0 /
2. Company Name
Telephone
Address
Employment Dates (State month and year)
Name of Supervisor
Weekly Pay (starting and ending)
Job Title and Describe Your Work
0 /
Reason for Leaving
0 /
3. Company Name
Telephone
Address
Employment Dates (State month and year)
Name of Supervisor
Weekly Pay (starting and ending)
Job Title and Describe Your Work
0 /
Reason for Leaving
0 /
4. Company Name
Telephone
Address
Employment Dates (State month and year)
Name of Supervisor
Weekly Pay (starting and ending)
Job Title and Describe Your Work
0 /
Reason for Leaving
0 /

We may contact the employers listed above unless you  indicate those you do not want us to contact.

DO NOT CONTACT
Employer Name
Reason
MILITARY
Did you serve in the U.S. Armed Forces?
If yes, what branch?
Describe any training received relevant to the position for which you are applying.
0 /
OTHER
PROVIDE DATES YOU ATTENDED SCHOOL
ElementaryFrom and To
High SchoolFrom and To
CollegeFrom and To
OtherGive name and dates
0 /
Have you been convicted of a crime in the past 10 years, excluding misdemeanors and summary offenses, which has not been annulled, expunged, or sealed by a court?If yes, describe in full
0 /
State names of relatives and friends working for us, other than your spouse.
0 /
PERSONAL REFERENCES
Give the name of three persons not related to you, whom you have known at least one year.
1. Name
Years Acquainted
Address
2. Name
Years Acquainted
Address
3. Name
Years Acquainted
Address
SIGNATURE

Please note: If you are hired, employment with Arizona Lithographers is at-will. This means that neither the employee nor Arizona Lithographers has entered into a contract regarding the duration of your employment. You are free to terminate your employ with Arizona Lithographers at any time, with or without reason. Likewise, Arizona Lithographers has the right to terminate your employment, or otherwise discipline, transfer, or demote you at any time, with or without reason, at the discretion of Arizona Lithographers. 


The information provided in this Application for employment is true, correct, and complete. If you employ me, any misstatement or omission of fact on this application may result in my dismissal.



I understand that acceptance of an offer of employment creates no obligation upon you, the employer, to continue to employ me in the future.

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DATE
date_range
E-Signature (type your full name)
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