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Vision Plastics, Inc. Logo

Employment Application 
 




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Vision Plastics, Inc.

             Employment Application


Position(s) applied for:
First Name *
Middle Initial
Last Name *
Address *
Address
City *
State
Zip Code *
Home Phone
Cell Phone
Other Phone
(Please explain, work, message, pager, etc.)
Have you ever been employed by Vision? *
No   Yes  
If yes, please list positions and dates worked
Are you legally eligible for employment in this country? *
Yes   No  
Have you ever plead "guilty", "no contest" or been convicted of a crime? *
Note: Answering "yes' to this question does not constitute an automatic bar to employment.  Factors such as date of offense, seriousness & nature of violation, and position applied for will be considered.
Yes   No  
If yes, please provide date(s) and details
Are you available to work... (Check all that apply)
Full-Time  
Part-Time  
Temporary  
Day shift  
Swing shift  
Graveyard  
Weekends  

Employment History

Provide the following information of your past four (4) employers, assignments, or volunteer activities, starting with the most recent

Start date
End date
Employer
Job Title
Address
Phone number
Reason for leaving
Supervisor and Title
May we contact?
Yes   No  
Pay rate: Start
Pay rate: End
Wage Type
Start date
End date
Employer
Job Title
Address
Phone Number
Reason for leaving
Supervisor and title
May we contact?
Yes   No  
Pay rate: Start
Pay rate: End
Wage Type
Start date
End date
Employer
Job Title
Address
Phone number
Reason for leaving
Supervisor and Title
May we contact?
Yes   No  
Pay rate: Start
Pay rate: End
Wage Type
Start date
End date
Employer
Job Title
Address
Phone number
Resaon for leaving
Supervisor and Title
May we contact?
Yes   No  
Pay rate: Start
Pay rate: End
Wage Type

Skills and Qualifications

Summarize any training, skills, licenses, and/or certificates that may qualify you as being able to perform job-related functions in the position for which you are applying.


Educational Background
High School Name and Location
Years completed
Did you graduate?
Yes   No  
Degree or course of study
College Name and Location
Years completed
Did you graduate?
Yes   No  
Degree or course of study
Other, Name and Location
Years completed
Did you graduate?
Yes   No  
Degree or course of study

References

Please list three (3) people who would be familiar with your work performance and capabilities.

Name
Phone Number
Relationship
Name
Phone Number
Relationship
Name
Phone Number
Relationship

Applicant Statement

I certify that all information I have provided in order to apply for and secure work with the employer is true, complete, and correct.  I understand that any information provided by me that is found to be false, incomplete, or misrepresented in any respect, will be sufficient cause to (1) cancel further consideration of the application, or (2) immediately discharge me from the employer's service, whenever it is discovered.

I expressly authorize, without reservation, the employer, its representatives, employee, or agents to contact and obtain information from all references (personal and professional), employers, public agents, licensing authorities, and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume', or job interview.  I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees, or representatives for seeking, gathering and using such information in the employment process and all other persons, corporations, or organizations for furnishing such information about me.

I understand that the employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any application for consideration for employment on a basis prohibited by local, state, or federal law.

I understand that this application remains current for only six (6) months.  At the conclusion of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary to re-apply and fill out a new application.

If I am hired, I understand that I am free to resign at any time, with or without cause and without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without cause and without prior notice, except as required by law.  The application does not constitute an agreement or contract for employment, for any specified period or definite duration.  I understand that no supervisor or representative of the employer is authorized to make any assurances to the contrary and that no implied, oral, or written agreements contrary to the foregoing expressed language are valid unless they are in writing and signed by the employer's president.

I also understand that if I am hired, I will be required to provide proof of identity and legal authority for work in the United States and that federal immigration laws require me to complete an I-9 Form in this regard.

 

By stating my name below, I certify that I have read, fully understand, and accept all terms of the foregoing applicant statement.
Name of Applicant *
Date *

* Required to submit this form








Home  |  Quality  |  RoHS  |  Capabilities  |  Quality Policy  |  ISO Certification  |  Project Management  |  File Format  |  Injection Molding  |  Value Added  |  Lean Enterprise  |  MRP-II  |  Wilsonville, OR  |  Shenzhen China  |  Our History  |  Our People  |  Enviromental  |  Contact Us  |  Contact Information  |  Customer Satisfaction Feedback  |  Customer Survey  |  RFQ  |  Employment Opportunities


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