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employment application

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Personal Information

Name:(Required)

First

Date:

MM slash DD slash YYYY

Address

Street Address City State / Province / Region ZIP / Postal Code

Phone Number:

Position Desired:

Can you perform the essential functions of the position for which you are applying?

Select One

Yes

If no, please explain (If you have any questions as to what functions are applicable to the position for which you are applying, please ask the interviewer before you answer the question)

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If no, please explain (If you have any questions as to what functions are applicable to the position for which you are applying, please ask the interviewer before you answer the question)

When are you available to begin work?

Are you legally eligible to be employed in the United States?

Select One

Yes

(Proof of identity and eligibility will be required upon employment)

Are you over the age of 18?

Select One

Yes

If no, you maybe required to provide authorization to work.

Have you ever worked for this Company before?

Select One

Yes

If yes, When?

Job Title:

Do you have relatives or friends who work for Arrow?

Select One

Yes

If yes, who and where do they work?

Are you available to work:

Days

Nights

Weekends

Full-Time

If you cannot work full-time, please explain:

Days and Hours Available:

Are you presently employed?

Select One

Yes

If yes, may we contact your employer?

Select One

Yes

If presently employed, why are you considering leaving?

Do you belong to any professional, trade, business or civic organizations that deal with the position for which you are applying?

Select One

Yes

If yes, please explain.

High School

Name & Location of School

Course of Study

Number of years Completed

Diploma or Degree Received

College

Name & Location of School

Course of Study

Number of years Completed

Diploma or Degree Received

Vocational/Trade School

Name & Location of School

Course of Study

Number of years Completed

Diploma or Degree Received

Graduate

Name & Location of School

Course of Study

Number of years Completed

Diploma or Degree Received

Have you completed any special courses, seminars, and/or training directly related to the position for which you are applying?

Select One

Yes

If yes, please describe:

Employment

Start with your current or most recent position

Name of Employer

Phone Number

Full Address

Street Address

Supervisor’s Name & Title

Dates Employed

From: Month/Day/Year

MM slash DD slash YYYY

From: Month/Day/Year

MM slash DD slash YYYY

Describe Work Performed

Name of Employer

Phone Number

Full Address

Street Address

Supervisor’s Name & Title

Dates Employed

From: Month/Day/Year

MM slash DD slash YYYY

To Month/Day/Year

MM slash DD slash YYYY

Describe Work Performed

Name of Employer

Phone Number

Full Address

Street Address

Supervisor’s Name & Title

Dates Employed

From: Month/Day/Year

MM slash DD slash YYYY

To Month/Day/Year

MM slash DD slash YYYY

Describe Work Performed

Personal References

Give three references (not relatives)

Name

Occupation

Phone Number

Name

Occupation

Phone Number

Name

Occupation

Phone Number

I certify that the information provided on this application is truthful and accurate. I understand that providing false or misleading information will be the basis for rejection of my application, or if employment commences, immediate termination.

I authorize Arrow Packaging Solutions to contact former employers and educational organizations regarding my employment and education. I authorize my former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendance, and grades. I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education.

If an employment relationship is created, I understand that unless I am offered a specific written contract of employment signed on behalf of the organization by its CEO, or other authorized officer, the employment relationship will be “at-will.” In other words, the relationship will be entirely voluntary in nature, and either I or the employer will be able to terminate the employment relationship at any time and without cause. Without appropriate notice, I will have full and complete discretion to end the employment relationship when I choose and for reasons of my choice. Similarly, my employer will the right. Moreover, no agent, representative, or employee of Arrow Packaging Solutions, except in a specific written contract of employment signed on behalf of the organization by it CEO, has the power to alter or vary the voluntary nature of the employment relationship.

Arrow is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

I have carefully read the above certification and understand and agree to its terms

Applicant’s Full Name

Date

MM slash DD slash YYYY