Apply for Employment

Name *

First

Last

Street Address, City, State *

Phone *

Email *

Position *

Shift Preferred *

• 1st
• 2nd
• 3rd

Are you over age 18? *

• Yes
• No

Can you stand for 8-10 hours per day; lift/carry up to 50 lbs.; be physically able to walk, squat, crawl, climb, bend at waist, and use arms, hands, and fingers repetitively and have the ability to work in a dusty atmosphere in hot and cold conditions? *

• Yes
• No

Have you worked for our company before? *

Names of relatives or friends who work here? *

Do you have daily transportation to work? *

• Yes
• No

What High School did you attend?

Did you graduate from High School? *

• Yes
• No

If you graduated, what year did you graduate?

Any other post High School education?

Any special skills/machines?

Why are you looking for a job right now? *

Why did you leave your last job? *

Do you have factory experience? *

From your previous employment, what was your favorite job?

How many days were you absent from your last job? *

Do you think that was excessive? *

Have you ever received any type of awards/recognition for good work performance or good attendance? If so, what type? *

Have you ever received any type of warning or been disciplined for your attendance or performance? If so, what type?

Would you be able to work overtime? *

• Weekdays
• Weekends
• On short notice

Would you be able to adjust your personal schedule to work overtime, if needed? *

• Yes
• No

Did a current Freeman Corporation Employee Refer you? *

• Yes
• No

If Yes, name of Freeman Corporation Employee that Referred you:

Previous Employer 1: *

Previous Employer 2:

Personal references

Comment or Message

Signature *

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