Job Application

APPLICANT INFORMATION

First Name*

Last Name*

Phone*

Email*

Address*

Street Address City State ZIP Code

Are you 18 years old or older?*

Shifts Desired*

You may select more than one.

Shift 1
Shift 2
Shift 3

Type of Work Desired*

Salary Desired*

How were you referred to our organization?

Have you ever been previously employed by Royal Plastics?*

Yes
No

Do you have any relatives employed by Royal Plastics?*

Yes
No

Any information we'll need about your name, or use of another name, in order to verify your work history?*

Please Specify:

If hired, can you provide written evidence that you are authorized to work in the U.S.?*

Please list any additional information that relates to your ability to perform the job for which you have applied, such as licenses, professional memberships, hobbies, etc.:

EDUCATION

------- High School -------

Name/Location*

Course

Number of Years Completed*

Degree/Diploma*

------- Technical or Other -------

Name/Location

Course

Number of Years Completed

Degree/Diploma

EMPLOYMENT RECORD

------- Previous Employer #1 -------

Company Name*

Kind of Work*

Company Address*

Street Address City State ZIP Code

Date Started/Left*

Rate of Pay*

Reason for Leaving*

------- Previous Employer #2 -------

Company Name

Kind of Work

Date Started/Left

Rate of Pay

Address

Street Address City State ZIP Code

Reason for Leaving

Add another past employer (3)

Yes

------- Previous Employer #3 -------

Company Name*

Kind of Work*

Date Started/Left*

Rate of Pay*

Address*

Street Address City State ZIP Code

Reason for Leaving*

Add another previous employer (4)

Yes

------- Previous Employer #4 -------

Company Name*

Kind of Work*

Date Started/Left*

Rate of Pay*

Address*

Street Address City State ZIP Code

Reason for Leaving*

REFERENCES (do not include relatives)

------- Reference #1 -------

Name

First Last

Occupation

Years Known

Address

Street Address City State ZIP Code

------- Reference #2 -------

Name

First Last

Occupation

Years Known

Address

Street Address City State ZIP Code

Add another Reference? (3)

Yes

------- Reference #3 -------

Name

First Last

Occupation

Years Known

Address

Street Address City State ZIP Code

Attach Resume

Drop files here or

Accepted file types: pdf, doc, Max. file size: 64 MB, Max. files: 4.

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APPLICANT INFORMATION

EDUCATION

------- High School -------

------- Technical or Other -------

EMPLOYMENT RECORD

------- Previous Employer #1 -------

------- Previous Employer #2 -------

------- Previous Employer #3 -------

------- Previous Employer #4 -------

REFERENCES (do not include relatives)

------- Reference #1 -------

------- Reference #2 -------

------- Reference #3 -------

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