Employment Application Form

Employment Application

Fill the form below accurately indicating your potentials and suitability to job applying for.
Name: *

First Name Middle Name Last Name
Birth Date

Month Day Year
Phone Number: *

- Area Code Phone Number
E-mail Address: *
Social Security Number: *
###-##-####

Address: *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

How were you referred to us? *

Walk-In Employee Indeed Facebook Craigslist Yard Sign
Upload Resume: *
Are you looking for full time employment? *

Yes No
Are you willing to work Night Shift? *

Yes No
Have you ever been convicted of a felony? *

Yes No
If yes, please describe conditions.
Education
High School & Year
College & Year
Post-College & Year
Job Skills & Training
Describe your skills: *
Training or Certifications:
Job History

Please list your past two (2) employment positions.
Job 1
Company Name *
Years Employed *
Hourly Wage *
Responsibilities *
Reason For Leaving *
Name of Supervisor *

First Name Last Name
May we Contact? *

Yes No
Job 2
Company Name *
Years Employed *
Hourly Wage *
Responsibilities *
Reason For Leaving *
Name of Supervisor *

First Name Last Name
May we Contact? *

Yes No
I state that the facts set forth in this application for employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements on this application shall be considered sufficient cause for dismissal. Southern Perfection Fabrication Plastic Group is hereby authorized to make any investigations of my prior educational and employment history.

I understand that employment at Southern Perfection Fabrication Plastic Group is “at will”, which means that either I or Southern Perfection Fabrication Plastic Group can terminate the employment relationship at any time, with or without prior notice and for any reason not prohibited by statute. All employment is continued on that basis. I understand that no supervisor, manager, or executive of this company, other than the president, has authority to alter the forgoing.
Pre-Employment and active Employee Drug Testing Consent

I hereby consent to submit to urinalysis and/or other tests as shall be determined by Southern Perfection Fabrication Plastic Group in the selection process of applicants for employment, for the purpose of determining the drug content thereof. I understand that the duration of this consent is during the time which I am being considered for employment and, if selected, during in-processing to the company.

I agree that Hodac, Inc may collect these specimens for these tests and may test them or forward them to a testing laboratory designated for analysis.

I understand that it is the current use of illegal drugs that would prohibit me from being employed by Southern Perfection Fabrication Plastic Group.

I further agree to hold harmless Southern Perfection Fabrication Plastic Group and its agents (including Hodac, Inc.) from any liability arising in whole or part, out of the collection of specimens, testing, and use of the information from said testing in connection with Southern Perfection Fabrication Plastic Group.

I understand that if hired and my performance indicates it is necessary, or in the case of random testing, I will also submit to a substance abuse test. I also understand that failure to comply with a substance abuse test request or a positive result may lead to termination of employment and denial of benefits. I understand that the duration of this consent is for as long as I am an employee of Southern Perfection Fabrication Holdings Plastic Group.

I further agree that a reproduced copy of this pre-employment consent and release form shall have the same force and effect as the original.

I have carefully read the forgoing and fully understand its contents. I acknowledge that my signing of this consent and release form is a voluntary act on my part and that I have not been coerced into signing this document by anyone.
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Employment Application

Education

Job Skills & Training

Job History

Job 1

Job 2