MacWal Personnel Application

MacWal Personnel

1521 E Center Street Ext Ste A, Lexington, North Carolina 27292

336-242-1475

MacWal Personnel is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Should an applicant need reasonable accommodation in the application process, he or she should contact a company representative.

Please fill out all of the sections below:
Applicant Information
Applicant Name*
Telephone Number*
Address*

Address

Street Address Line 2

City, State and Zip CodeState / Province

Postal / Zip Code
Email Address*
example@example.com
Date of Application*

MonthDayYear
Date
Employment Information
Position(s) applying for:*
How did you hear about this position?*
What days are you available for work?*
What hours or shift are you available for work?*
If needed, are you available to work overtime?*
On what date can you start working if you are hired?*

MonthDayYear
Date
Do you have reliable transportation to and from work?*
Personal Information
Have you ever applied to or worked for MacWal Personnel before?*

YesNo
If yes, when?
Do you have any friends, relatives, or acquaintances working for MacWal Personnel*

YesNo
If yes, state name & relationship
Are you 18 years of age or older?*

YesNo
Are you a U.S. citizen or approved to work in the United States?*

YesNo
What document can you provide as proof of citizenship or legal status?*
Will you consent to a mandatory controlled substance test?*

YesNo
Do you have any condition which would require job accommodations?*

YesNo
If yes, please describe accommodations required below.
Have you ever been convicted of a criminal offense (felony or misdemeanor)?*

YesNo
If yes, please state the nature of the crime(s), when and where convicted and disposition of the case
Job Skills/Qualifications
Please list below the skills and qualifications you possess for the position for which you are applying*
(Note: MacWal Personnel complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions.)
Education and Training
High School*
Location (City, State)*
Year Graduated*
Degree Earned*
College/University*
Location (City, State)*
Year Graduated*
Degree Earned*
Vocational School/Specialized Training*
Location (City, State)*
Year Graduated*
Degree Earned*
Military
Are you a member of the Armed Services?*
What branch of the military did you enlist?*
What was your military rank when discharged?*
How many years did you serve in the military?*
What military skills do you possess that would be an asset for this position?*
Previous Employment
Employer Name*
Job Title*
Supervisor Name*
Employer Telephone*
Employer Address*
City, State and Zip Code*
Dates Employed*
Reason for leaving*
Employer Name*
Job Title*
Supervisor Name*
Employer Telephone*
Employer Address*
City, State and Zip Code*
Dates Employed*
Reason for leaving*
Employer Name*
Job Title*
Supervisor Name*
Employer Telephone*
Employer Address*
City, State and Zip Code*
Dates Employed*
Reason for leaving*
References

Please provide 3 personal and professional reference(s) below:
Reference Name*
Contact Information*
Reference Name*
Contact Information*
Reference Name*
Contact Information*
The relationship between you and the MacWal Personnel is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or the MacWal Personnel. No representative of MacWal Personnel has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will," and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and either our Executive Vice-President/Chief Operations Officer or the Company's President.
Applicant Signature*

Clear
Dated*

MonthDayYear
Date
Please verify that you are human*
Should be Empty:

Applicant Information

Employment Information

Personal Information

Job Skills/Qualifications

Education and Training

Military

Previous Employment

References