Employment Application - Almega Tru-Flex

Almega/Tru-Flex, Inc. is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, age, sex, sexual orientation, gender identity, national origin, veteran or disability status.

Production Shifts

1st Shift: 6:00am to 4:30pm, Monday through Thursday

Personal Information

Last Name *

First Name *

Middle Name

Street Address *

City *

State *

Zip Code *

Telephone Number *

Email Address *

Social Security Number *

Referred By

Are you over 18 years of age? *

Yes No

Are you legally eligible for employment in the United States? *

Yes No

(If hired, verification will be required by law)

Position Information

Position Applied For *

Employment Type *

Full Time Part Time

Date Available to Start *

Desired Wage (per hour)

Have you worked for us before?

Yes No

If yes, when?

Previous Position

Special Skills & Proficiencies

Education

High School Name & Location

Did you graduate?

Yes No

College Name & Location

Course of Study

Did you graduate?

Yes No

Other Training/School

Course of Study

Additional Information

Are you presently employed?

Yes No

If hired, will you work overtime if required?

Yes No

Have you ever been convicted of a felony (excluding misdemeanors & traffic offenses)?

Yes No

If yes, please specify the nature of the conviction(s) (A conviction does not necessarily disqualify an applicant for the position being applied for)

Employment History

Start with most recent

Most Recent Employer

Company Name

Phone

Address

Supervisor's Name

Job Title

Responsibilities

From (Date)

To (Date)

Starting Wage

Ending Wage

Reason for Leaving

Previous Employer

Company Name

Phone

Address

Supervisor's Name

Job Title

Responsibilities

From (Date)

To (Date)

Starting Wage

Ending Wage

Reason for Leaving

Previous Employer

Company Name

Phone

Address

Supervisor's Name

Job Title

Responsibilities

From (Date)

To (Date)

Starting Wage

Ending Wage

Reason for Leaving

Personal References

Name

Address

Telephone

Name

Address

Telephone

Name

Address

Telephone

Applicant Agreement

The above information is true and complete to the best of my knowledge. Should I be employed by Almega/Tru-Flex, any misrepresentation or false statement contained herein may be considered cause for possible dismissal. Almega/Tru-Flex has my permission to obtain all necessary information from the references I have listed, or any other sources, concerning my prior employment, personal history or credit standing and I release all parties from any possible damages resulting from disclosing such information with or without prior written notice to me. I reserve the right to know the names and addresses of any investigative agencies used in order that I may learn the information contained in any reports furnished to Almega/Tru-Flex.

I understand this application does not constitute an employment contract of any kind. Should I be employed by Almega/Tru-Flex, I may resign such employment at any time at my discretion without prior written notice and Almega/Tru-Flex may terminate my employment at any time at their discretion, with or without cause and with or without prior notice.

I have read and agree to the above statements *

Printed Name *

Date *