Stoutco Employment App

EMPLOYMENT APPLICATION

Personal Information

Name:*

First NameLast Name

Phone Number:*

E-mail Address:

Address:*

Street Address

Street Address Line 2

CityState

Zip Code

How were you referred to us?*

Optional - Upload Resume - still need to answer questions below.

Upload a File

Are you legally eligible to be employed in the United States?*

YesNo

Are you 18 years of age or older?*

YesNo

What is the highest level of education you have achieved

Grade SchoolHigh School / GEDSome CollegeCollege Degree

What is your Shift Preference?*

First (5:30 a.m. to 2:00 p.m.)Second (If available, 2:00 p.m. to 10:30 p.m.)

Are you applying for Full Time or Part Time?*

Full Time (40 hours or more per week)Part Time (Less than 40 hours per week)

What position(s) are you applying for?*

What is your desired hourly wage*

Enter dollar per hour - or ANY

Do you have any relatives working at Stoutco?*

Entere name(s), or NONE

Do you have any friends working at Stoutco?*

Enter name(s) or NONE

Have you been convicted of a crime in the last 7 years?*

YesNo

If yes, please describe

Do you have any obligations that would prevent you from working overtime?*

YesNo

Employment Experience

Have you previously been employed by Stoutco?*

YesNo

If yes, please provide dates of employment and position held.

Current Position

Where are you currently employed?

How long have you been employed there? (years, months)

Please provide your current position title.*

Describe the type of work you perform in your current position?

Please provide your current hourly rate of pay.*

Why do you desire to leave your current position?

Prior Employment

What is the name of your prior employer?

How long were you employed there? (years, months)

Please provide your previous position title.*

Describe the type of work you performed there?

Please provide your ending hourly rate of pay at that position.*

Why did you leave that position/job?

Job Skills & Training

Check each skill that you have on-the-job experience with:*

Describe your skills:

List any Special Training or Certifications you have (CNC, Forklift, Welding, etc.):

References

Please list two (2) references that are familiar with your work life.

Reference 1

Name:*

First NameLast Name

Phone Number

Relationship:

Years Known:

Reference 2

Name:*

First NameLast Name

Phone Number

Relationship:

Years Known:

Please read carefully:

Authorization to Release Information

I certify this application was completed by me and the entries contained within are true and complete to the best of my knowledge. I understand that any misrepresentations, deceptions, false statements, or omissions of facts made in this application or during the hiring process may result in my not being considered for employment, and if not discovered by the company until after becoming employed, are grounds for and may result in my immediate termination.

I authorize an inquiry which may provide information concerning my character, general reputation and past work performance. I hereby authorize Stoutco to inquire and also authorize and request each former employer, educational institution, persons, credit bureaus, governmental and law enforcement agencies to answer all questions which may be legally asked, and to release all information which may be legally sought. I hereby release all parties from any liability or responsibility for doing so.

I understand and agree that, if hired, my employment is for no definite period and may be terminated at any time with or without advance notice. I further understand that only the president of Stoutco, Inc. or another person specifically authorized by resolution of Stoutco’s Board of Directors has the authority to create or enter into any employment contract on behalf of the company.

I-9 Requirement

Pursuant to the Immigration Reform and Control Act of 1986 all applicants upon being made an offer of employment must produce documents, which are specified by the Federal Government, establishing their identity and authorization for employment in the United States. You will also be required to sign Form I-9 (issued by the Federal Government).

If hired, I agree to comply with all rules, regulations, and employment policies of Stoutco, Inc.

Please sign:*