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Applicationfinal

The document is an employment application for Cardinal, outlining the company's commitment to Equal Employment Opportunity and non-discrimination policies. It includes sections for personal information, employment history, education, and references, as well as a declaration of truthfulness by the applicant. Additionally, it specifies that applicants may be required to pass a drug test and background check before employment is offered.

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andersondanielle37
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Download as PDF, TXT or read online on Scribd
3 views

Applicationfinal

The document is an employment application for Cardinal, outlining the company's commitment to Equal Employment Opportunity and non-discrimination policies. It includes sections for personal information, employment history, education, and references, as well as a declaration of truthfulness by the applicant. Additionally, it specifies that applicants may be required to pass a drug test and background check before employment is offered.

Uploaded by

andersondanielle37
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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Cardinal

301 McSwain Drive


Fremont, IN 46703
APPLICATION FOR EMPLOYMENT
Cardinal believes in Equal Employment Opportunity. This means that the company complies with laws that applicants for employment and current employees not be discriminated against due
to race, color, creed, national origin, ancestry, sex, age, disability, marital status, sexual orientation, membership in military service, arrest/conviction record, or other protected categories. This
EEO policy includes hiring, placement, promotion, training, rates of pay, lay-off, termination, and other terms and conditions of employment.

PERSONAL INFORMATION

NAME:
Last First Middle
ADDRESS:
Street

City State Zip Code


PHONE: E Mail Address:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Are you at least 18 years old? No □ □
□ □
Yes
Are you a United States citizen or do you have an entry permit which allows you to lawfully work in the U.S.? Yes No
Have you ever been convicted of a crime that has not been expunged by a court? Yes No If yes, state the nature of the □ □
conviction, the date, and the court?

*A conviction will not necessarily disqualify you from consideration for employment. The effect of a conviction will be assessed with
respect to time, circumstances, seriousness of the offense, and job responsibilities and duties. However, your failure to list a conviction
(except convictions protected from disclosure by applicable law) will disqualify you from consideration for employment or may result in
termination of employment if subsequently discovered.

EMPLOYMENT DESIRED
POSITION: DATE AVAILABLE TO START:
□ □ ARE YOU SEEKING PART-TIME OR FULL-TIME

□ Yes □ No
ARE YOU EMPLOYED NOW? Yes No
EMPLOYMENT? PART-TIME FULL-TIME
MAY WE INQUIRE OF YOUR PRESENT EMPLOYER?
HAVE YOU EVER APPLIED TO THIS COMPANY BEFORE? WHEN? WHERE?
*WHO REFERRED YOU TO THIS COMPANY: Friend/Relative:
Our Advertisement (please indicate which newspaper), No One

ARE YOU AVAILABLE FOR: 1st SHIFT Yes No


2nd SHIFT Yes No
3rd SHIFT Yes No

All applicants who are conditionally offered employment will be required to pass a drug test and background check. Are you able to

□
perform the essential functions of the job for which you are applying, with or without reasonable accommodations?
Yes No □
Education Name and Location No. of Years Did You Field of Study
of School Attended Graduate?

High School / GED N/A

College / Tech /
Other

*List any special skills or qualifications which you feel are relevant to the job for which you are applying:
MILITARY
BRANCH RANK FROM TO
Present Membership in National Guard or Reserves

EMPLOYMENT HISTORY - Please complete this section even if a resume is attached


LIST EMPLOYERS STARTING WITH YOUR MOST RECENT EMPLOYER. Account for all periods of time including military service
and any periods of unemployment. If self-employed, give firm name and supply business references. PLEASE GIVE MONTH AND YEAR.

COMPANY NAME TELEPHONE NUMBER


ADDRESS EMPLOYED From / To /
NAME OF SUPERVISOR HOURLY PAY: Start Last
POSITION AND RESPONSIBILITIES
REASON FOR LEAVING

COMPANY NAME TELEPHONE NUMBER


ADDRESS EMPLOYED From / To /
NAME OF SUPERVISOR HOURLY PAY: Start Last
POSITION AND RESPONSIBILITIES
REASON FOR LEAVING

COMPANY NAME TELEPHONE NUMBER


ADDRESS EMPLOYED From / To /
NAME OF SUPERVISOR HOURLY PAY: Start Last
POSITION AND RESPONSIBILITIES
REASON FOR LEAVING

REFERENCES
Give the names of two people (not related to you) whom you have known at least one year.
Name Phone Number Business Acquainted How Years
1.
2.

PLEASE READ CAREFULLY, THEN SIGN AND INITIAL WHERE INDICATED

I hereby authorize you to investigate my background. I authorize and request all persons, companies, and organizations to
furnish any information about me requested by you. I release from liability any person, company, or organization
furnishing such information. I certify that all statements are truthful and accurate. In the event any of the above
statements are false, I understand, if employed, that I will be subject to dismissal.

I understand that: This application is not an offer of employment; that by accepting this application, you do not
guarantee that I will be offered a position. If employed, I agree to abide by all of the work and safety rules of the
Company. I understand that this Company is committed to maintaining a drug and tobacco-free workplace. I have
read, understand, and agree to the above statement. (Please initial here).
**Smoking is prohibited by state law within 8 feet of our entrances.

DATE SIGNATURE Updated : 4/29 /15

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