Date
First Name
Middle Name
Last Name
Street Address
City
State
Zip
Phone
Email
Are you under 18 years of age?
Have you ever filed an application with us before?
If yes, when:
example: 12/01/2001
Have you ever worked here before?
If yes, when:
example: 12/01/2001
Are you legally eligible for employment in the United States?
Proof of eligibility may be required upon employment
Have you plead guilty or been convicted of a felony within the last 7 years?
You will not automatically be disqualified from consideration because you have pled guilty or have been convicted of a felony.
If Yes, please explain:
Position(s) Applying For
Position(s) desired: (You may list up to three)
Date available for work:
How did you find out about us?
Check type(s) of employment desired:
Education and Training

HIGH SCHOOL
Name
Location
Did you graduate?

COLLEGE
Name
Location
Did you graduate?

SPECIAL SCHOOLS/OTHER COURSES
Name
Location
Area of Study
Other:
Business Skills
Typing wpm
Accounting/Bookkeeping
Data entry
Computer Programs (ie Word, Excel, etc.):
Please list any other office skills you would like us to consider:
Employment Record

This section must be completed in full. Do not substitute "See Resume" for full description of work experience.

Are you currently employed?
If so, may we contact your present employer for a reference?
NAME OF PRESENT OR PREVIOUS EMPLOYER:
From
To
Street
City
State
Zip
Phone
Supervisor
Starting Salary
Ending Salary
Nature of Duties
Reason for Leaving
NAME OF PREVIOUS OR PREVIOUS EMPLOYER:
From
To
Street
City
State
Zip
Phone
Supervisor
Starting Salary
Ending Salary
Nature of Duties
Reason for Leaving
NAME OF SECOND PREVIOUS OR PREVIOUS EMPLOYER:
From
To
Street
City
State
Zip
Phone
Supervisor
Starting Salary
Ending Salary
Nature of Duties
Reason for Leaving

Terms and Conditions

Please read and understand the following information before signing and submitting this application.

I understand that SKC Communication Products, Inc. is an equal opportunity employer and complies with all state and federal regulations governing employment practices. The company does not discriminate in hiring or employment on the basis of race, color, creed, national origin, gender, age, citizenship status, marital status, sex, sexual orientation or disability.

I certify that the statements made by me on this application are true and complete to the best of my knowledge.

I understand that any misstatement or omission of information is grounds for dismissal in accordance with Company policy. I voluntarily authorize the Company to make a thorough investigation of all statements contained on this application form. I understand that the Company will cease considering this application for employment if, in the course of its investigation, it discovers any false or misleading statements in connection with this application.

I authorize any persons or organizations listed on this application form to give the Company any and all information concerning my previous employment any information they may have, personal or otherwise, and release the Company, its representatives, and all parties from all liability for any damage that may result from seeking such information or furnishing same to Company.

I voluntarily waive any right to receive written notice from any current or former employers prior to their disclosure of any disclosure of any disciplinary reports, letters or reprimand, or disciplinary actions relative to my employment within the last five (5) years.

I understand that nothing contained in this employment application, Company policies, procedures or handbooks that I might receive is intended to create an employment contract between the Company and myself for either employment or for the providing of any benefit. I understand that no representative of the Company has the authority to make any assurance to the contrary.

I understand that the Company will make reasonable accommodations for a qualified applicant or employee with a disability unless it would create an undue hardship. It is my obligation if I am disabled to request the Company to make reasonable accommodation.

I understand that my employment, if offered, will be at will. This means my employment and compensation can be terminated with or without cause and with or without notice, at any time, at the option of either the Company or myself.

I further understand that if I am offered employment, I will have to satisfactorily meet the requirements of federal law including verification of employment under the Immigration Reform and Control Act of 1986.

I agree to the EEO TERMS AND CONDITIONS.
Date 3/12/2010
Only signed and dated applications will be considered.
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