EmailMe Form - SHARPLINE CONVERTING, INC.

Name *

First Last

Social Security # (Last 4 digits) *

Present Street Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Phone *

### - ### - ####

Email

Confirm

POSITION(S) DESIRED

List your top 2 choices *

Position Type *

Full Time

Part Time

Summer

Shift Desired *

1ST

2ND

3RD

WEEKEND

Have you previously worked at Sharpline? *

YES

NO

If YES, Under what name?

Have you previously
applied for employment
at Sharpline? *

YES

NO

If YES, When?

Referred by? *

EMPLOYMENT HISTORY

List all jobs and activities including military service, schools, part-time employment while in school, and self-employment for the pat 10 years. You must include a minimum of 10 years experience or to the age of 18. All questions must be answered, including Salary Information. 'SEE RESUME' IS NOT ACCEPTABLE, although a resume may be attached to supplement your reply. Periods of unemployment should also be shown. Accurate employment dates are required. If there are more than 3 previous employers to list, UPLOAD additional EMPLOYMENT HISTORY below. PDF or Microsoft Word format ONLY.

UPLOAD RESUME or SUPPLEMENTAL EMPLOYMENT HISTORY

Current or Most Recent Employer/company name

Address

Street Address City State / Province / Region Postal / Zip Code Country / Region

Phone

### - ### - ####

List Your Supervisor's Name and Title.

Also, List Your Position & Description of Duties

May we contact your present employer?

YES

NO

From MO/YR - To MO/YR

Hourly Wage

Reason for Leaving

Previous Employer/company name #2

Address

Street Address City State / Province / Region Postal / Zip Code Country / Region

Phone

### - ### - ####

List Your Supervisor's Name and Title.

Also, List Your Position & Description of Duties

From MO/YR - To MO/YR

Hourly Wage

Reason for Leaving

Previous Employer/company name #3

Address

Street Address City State / Province / Region Postal / Zip Code Country / Region

Phone

### - ### - ####

List Your Supervisor's Name and Title.

Also, List Your Position & Description of Duties

From MO/YR - To MO/YR

Hourly Wage

Reason for Leaving

Phone

### - ### - ####

EDUCATION AND TRAINING

Complete the following. ALL questions that apply must be answered.

HIGH SCHOOL
Name and Address

Years Attended

Did You Graduate?

YES

NO

Courses related to the job for which your are applying

COLLEGE or UNIVERSITY
Name and Address

Did You Graduate?

YES

NO

Courses/degree related to the job for which your are applying

OTHER SPECIAL TRAINING
Name and Address

Training related to the job for which your are applying

What office machines or other equipment can you operate? Describe special skills, trades or crafts and licenses held.

MILITARY SERVICE

Complete the following. ALL questions that apply must be answered.

Are you registered under Selective Service Law? *

YES

NO

If YES, list Selective Service Classification

Date Entered

MM / DD / YYYY

Date Discharged

MM / DD / YYYY

Did your receive other than an honorable discharge?

YES

NO

Are you a member of the Active Reserve?

YES

NO

If YES, List Branch

MISCELLANEOUS

Are you at least 18 years of age? *

YES

NO

STARTING SALARY

I have established the following WAGE/HR as a minimum starting salary. *

After accepting an offer, list earliest available start date.

MM / DD / YYYY

REFERENCES

List 3 persons (Use full name, address, phone #, occupation and length of relationship). Do not give former employers or relatives.

List 3 References *

Within the past 7 years, have you been convicted of an offense against civil or military law or been released from a prison or other detention facility, or are you now under charges for any offense against civil or military law? (Omit (1) traffic violations with a fine under $100 except where liquor or drugs were involved and (2) any offense committed before your 18th birthday which was finally adjudicated in a juvenile court or under a youth offender law). A conviction record will not necessarily bar you from employment. If you have checked the YES box, please explain in the REMARKS section below.

*

YES

NO

REMARKS

Write any additional information you think we should know.

I hearby certify that the answers given by me to the foregoing questions and statements made are true and correct, without mental reservations of any kind whatsoever and hereby authorize Sharpline Converting, Inc. to verify same. If employment is obtained under this application, I will comply with all orders, rules and regulations of the company. I also authorize my former employers and educational institutions to give any information they may have regarding me whether or not it is on their record. I hereby release them and their organizations from all liability for any damage whatsoever for issuing same. If upon investigation, anything contained in this application is found to be untrue, I understand I will be subject to dismissal at any time during the period of my employment. i understand that my present employer will not be contacted until I have accepted an employment offer, or unless so authorized in this application.

I understand that if I am employed by Sharpline Converting, Inc., my employment is "at will" and my be terminated by me or the company at any time and for any reason.

We appreciate your interest in Sharpline Converting, Inc. and the time you have taken to prepare this application.

Applicant Name *

First Last

JOB APPLICATION SUBMISSION

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After entering the matching characters, click the SUBMIT button at the bottom of the form.