Airlite Nonwovens Job Application

Airlite Nonwovens is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Applicants requiring reasonable accomodation in the application and/or interview process should notify a representative of the organization.

Date

Full Name*

First NameMiddle NameLast Name

Social Security Number*

DOB*

Gender*

Present Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Email Address*

Home Phone Number*

Area CodePhone Number

Cell Phone Number*

Area CodePhone Number

How long at present address*

If less than 6 months at current address, please provide previous address.

Shift Preference (If more than one option, write in "other")*

1st Shift2nd Shift3rd ShiftOther

Position Applying For*

Start date*

MonthDayYear

Salary*

Are you employed now?*

YesNo

If so, may we inquire of your present employer?

YesNo

Emergency Contacts

Personal Information

Ever applied to this company before?*

YesNo

If yes, when?

Do you have any friends, relatives, or acquaintances working for Airlite Nonwovens?*

YesNo

If yes, state name and relationship?

If hired, would you have transportation to/from work?*

YesNo

If hired, are you willing to submit to and pass a controlled substance test?*

YesNo

Education - Please include High School, College, and/or Trade/Business School

Special Skills/Training

Personal Interest - (Reading, Volunteer Work, Sports, etc.)

U.S. Military or Naval Service (include Rank)

Have you ever been convicted of a criminal offense (Felony or Misdemeanor)?*

YesNo

If yes, please describe the crime - state nature of the crime(s), when and where convicted and disposition of case.

(Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.)

Former Employees

#1 - Dates Worked: (From - To)

(Ex: Feb 2002 - July 2006)

Company Name and Address

Phone Number

Salary

Position

Reason for Leaving

#2 - Dates Worked: (From - To)

(Ex: Feb 2002 - July 2006)

Company Name and Address

Phone Number

Salary

Position

Reason for Leaving

#3 - Dates Worked: (From - To)

(Ex: Feb 2002 - July 2006)

Company Name and Address

Phone Number

Salary

Position

Reason for Leaving

Business References*

Authorization - I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed; falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing unless it is in writing and signed by an authorized company representative. This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws.

I agree that Airlite Nonwovens can contact me with information regarding my application. I understand that I am submitting personal information to Airlite Nonwovens so that I might be considered for employment. I am also aware of and agree to Airlite Nonwovens' Privacy Policy which can be found via a link on their website.*

I Consent

Date:

E- Signature*

Simply use your mouse to sign your name.