Job Application | Carolina Narrow Fabric - Industrial Fabric Manufacturing

Name

First Middle Last

Address

Street Address City State ZIP Code

Home Phone Number

Cell Phone Number

Email*

Emergency Contact

First Last

Emergency Contact Phone Number

Relationship

POSITION DESIRED

Position applied for:

Select all that apply:

Full Time

Part Time

Seasonal

Date available:

Are you available to work whatever schedule is necessary?

Yes

Please indicate your availability to work (check all that apply):

Mornings

Evenings

PERSONAL INFORMATION

Are you presently employed?

Yes

If yes, may we contact your present employer?

Yes

Do you have reliable transportation to get to work each day?

Yes

If no, please explain:

Names and relationships of relative(s) or acquaintance(s) employed by this company:

Name:

Relationship:

Referral source:

Job service

Employee referral

Other

If employee referral, who?

If other, who?

EDUCATION

The following information will be used only to the extent relevant to the qualifications and position for which you apply.

Select highest level of education completed:

High School

Some College

Bachelors Degree

Graduate Degree

Please note the name of the college you attend or attended:

Please note the name of the college you attended:

If you earned a bachelors degree, please signify year graduated:

Please signify degree earned:

Please note the name of the college you attended:

If you earned a graduate degree, please signify year graduated:

Please signify degree earned:

Do you have a high school diploma or GED?

Yes

BACKGROUND

Have you ever been convicted of or pled guilty “no contest” to a felony?

Yes

(Does not include offenses that were dismissed or discharged after completion of successful probation and convictions or pleas that have been deemed sealed, annulled or expunged by law)

If Yes, give details concerning the type of crime, the date of conviction or plea, the penalty imposed and any other circumstances you deem relevant to a full understanding of what occurred (attach additional sheets if necessary).

NOTE: Answering “Yes” to this question is not an automatic bar to employment. Factors such as age at the time of the offense, seriousness and nature of violation, relatedness to the job sought, the amount of time which has passed since the event occurred and evidence or rehabilitation will be taken into account. However, please be advised that a misstatement or omission in answering this question may be grounds for disciplinary action, including discharge.

Can you provide proof of your eligibility to work within the United States?

Yes

Applicants are subject to reference checks and successful completion of a drug test. Do you acknowledge this requirement?

Yes

Additional comments:

WORK HISTORY

Please list any special job skills or qualifications you’ve earned that may be relevant to the position for which you are applying:

List all employment, including military service, for the past seven (7) years beginning with your present or last job held.

Employer:

From - To (mm/yy) - (mm/yy)

Supervisor:

Phone Number:

May we contact?

Job Title:

Reason for Leaving:

Summary of Job Duties:

Have you ever been dismissed or asked to resign from employment?

Yes

If Yes, please provide a brief explanation, including the name of the employer, approximate date and any relevant circumstances:

REFERENCES

Please list the names, relationships, email addresses and phone numbers of three (3) people who are not related to you and who are not former employers.

Name/Occupation:

Relationship:

Email:

Phone:

RESUME

Upload your resume below (optional).

Files

Drop files here or

Max. file size: 256 MB.

UNDERSTANDINGS & AGREEMENTS

I understand that any misrepresentation, falsification or omission of this application shall be sufficient reason for refusal to hire or, if discovered after employment has begun, dismissal of my employment. I hereby authorize investigation of all matters contained in this application and agree that if the results of such investigation are not satisfactory, any offer of employment may be withdrawn, or, if applicable, my employment may be terminated immediately. I agree to conform to and adhere to the rules and regulations governing my employment. Further, I understand and agree that this application and any other materials I may receive are not intended to be, nor shall be construed to be a contract of employment, and that my employment and compensation may terminate, with or without cause, and with or without notice, at any time, at the option of either myself or my employer.

In consideration of any offer of employment, I hereby acknowledge, understand and agree that the following will constitute terms and conditions of any such employment: Any losses or expenses incurred by my employer, its clientele, or other third parties as a result of my unauthorized actions shall be immediately reimbursed to my employer on terms that are satisfactory and acceptable to my employer. To the extent permitted by law, I agree and hereby authorize my employer to reduce my wages for any sums owing by me hereunder.

Signature

Date

Application