Job Application Form
General Laborer - Plastic Welder/Washer
Southern Plastics & Inventory Control, LLC
1830 Amos Drive Muscle Shoals, AL 35661
Phone: 256-248-4659

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Name *
First and Last Name
Address *
Email *
Phone number *
Emergency Contact Name *
Emergency Contact Phone Number *
Emergency Contact Relation to You *
Part Time or Full Time Employment *
Required
Who Referred You to our company?
Are you at least 18 years old? *
If applicable, are you available to work overtime? *
If you are offered employement, when would you be available to begin work? *
If hired, are you able to submit proof that you are legally eligible for employment in the United States? *
Have you ever been convicted of a felony or misdemeanor? *
The existance of a criminal record does not constitute an automatic bar to employment unless relevant to the type of employment.
If yes, I was convicted of
If yes, I was convicted of the above on what date & in what city & state?
Applicant Skills & Employment History
Do you have any welding background at all? *
List any skills that may be useful for the job you are seeking.
List your current or most recent employment first. Please list all jobs (including self-employment and military service) which you have held, beginning with the most recent and list and explain any gaps in employemnt.
Most Recent Employer *
City & State *
Job Duties *
Reason for Leaving *
Dates of Employment *
Employer
City & State
Job Duties
Reason for Leaving
Dates of Employment
Employer
City & State
Job Duties
Reason for Leaving
Dates of Employment
Applicant's Education and Training
College/University Name
Did you receive a degree?
Clear selection
High School/GED Name
Did you receive a degree?
Clear selection
Other Traning (Technical, Vocational)
Please indicate any current licenses or certifications that you hold:
Please provide any other information that you believe should be considered.
Certification
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.  I authorize Southern Plastics and Inventory Control, LLC to contact former employers and educational organizations regarding my employment and education. I authrize my former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendance, and grades. I authorize persons designated as my references to fully and freely communicate information regarding my previouse employment and education.

If an employemnt relationship is created, I understand that unless I am offered a specific written contract of employment and signed on behalf of the organization by its Owner, the employment relationship will be "at-will".  In other words, the relationship will be entirely voluntary in nature, and either I or my employer will be able to terminate the employment relationship at any time without cause.

i understand that a pre-employment drug test will be required for employment and a positive resulting drug test will result in immeduate dismissal.
I HAVE CAREFULLY READ THE ABOVE CERTIFICATION AND I UNDERSTAND AND AGREE TO ITS TERMS.
Applicant Name (as digital signature) *
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