Contact Human Resources Complete the Application for Employment. Use the tab key or your mouse to navigate and fill in all applicable fields. Once complete, please click the "Submit Application" button at the bottom of the page. This will transmit your information to our Human Resources Department. You may also attach a resume or provide additional information in an email. Name Present Address City, State, ZIP Telephone # Email Address Permanent Address City, State, ZIP Date of Birth The age Discrimination in Employment Act of 1967 prohibits discrimination on the basis of age with respect to individuals who are at least 40 but less than 70 years of age. Required if under the age of 18. Type of work applying for Wage desired Shift willing to work 1 2 (check either one or both) Are you employed now? YES NO Employer name May we inquire of your present employer? YES NO Have you applied here before? NO YES When? Were you ever employed by us before? NO YES When? Are you willing to relocate as/if necessary? NO YES Resume Upload SCHOOL RECORD TYPE OF SCHOOL NAME AND LOCATION OF SCHOOL COURSE OF STUDY NO. OF YEARS ATTENDED DID YOU GRADUATE DEGREE ELEMENTARY YES NO HIGH SCHOOL YES NO COLLEGE/UNIVERSITY YES NO TRADE/BUSINESS YES NO Subjects of Special Study or Research Work EMPLOYMENT RECORD List last four employers starting with present or most recent first. NAME OF COMPANY & TELEPHONE NUMBER CITY, STATE NATURE OF WORK WAGES FROM TO NAME OF SUPERVISOR REASON FOR LEAVING PERSONAL REFERENCES NAME ADDRESS TELEPHONE BUSINESS YEARS ACQUAINTED Have you been convicted of a felony or misdemeanor? NO YES, Please explain A CONVICTION WILL NOT NECESSARILY DISQUALIFY APPLICANT FROM THE APPLIED POSITION. Are you aware of any reason you cannot perform the essential functions of the job for which you are applying? If yes, please explain: MILITARY SERVICE Have you ever served in the United States Armed Forces? YES NO RANK: Special training you received Present member of the National Guard or Reserves? 1. As an equal opportunity employer, Moridge Manufacturing, Inc. abides by applicable non-discrimination laws and will not unlawfully discriminate against any employee or applicant for employment because of race, color, age, sex, religion, national origin, ancestry, Vietnam era veteran status, or disability. 2. I certify that my answers made to the questions above are true, complete, and correct to the best of my knowledge. I understand that my falsification contained in this information shall be considered sufficient cause for rejection of this application and/or discharge. 3. Just as I am free to resign at any time, the Company reserves the right to terminate my employment at any time, with or without cause and without prior notice. I understand that no supervisor or representative of the Company, except the President, has any authority to make any agreements to the contrary. 4. If requested, I will furnish a doctor's statement regarding any condition which I have listed on this questionnaire. 5. Any job offer is contingent on the findings of a pre-employment physical and drug screening. 6. I authorize the persons, schools, current and past employers and organizations named in this application (and accompanying resume, if any) to provide Moridge Mfg. with any and all information concerning my previous employment and any information they may have, personal or otherwise, and I release all such parties from all liability for any damage or claim that may result from furnishing such information to Moridge Mfg. Moridge is a DRUG FREE workplace. Date available to begin work What source were you referred for a position here? Social Security # In lieu of signature, type full name in all CAPS: By clicking "Submit Form" I hereby electronically consent to and authorize my electronic signature to the employment application.
The age Discrimination in Employment Act of 1967 prohibits discrimination on the basis of age with respect to individuals who are at least 40 but less than 70 years of age. Required if under the age of 18.
TYPE OF SCHOOL
DID YOU GRADUATE
YES NO
NAME OF COMPANY & TELEPHONE NUMBER
FROM
PERSONAL REFERENCES
A CONVICTION WILL NOT NECESSARILY DISQUALIFY APPLICANT FROM THE APPLIED POSITION.
Are you aware of any reason you cannot perform the essential functions of the job for which you are applying? If yes, please explain:
Moridge is a DRUG FREE workplace.
