Join Our Team Application Form Full PDF (Multi-Page)

  • Page 1 of 6

  • Job Objective
    Position(s) applying for:
    1st Choice: *      *   
    2nd Choice:         

  • Skills
    List the graphic arts equipment and/or graphic arts skills in which you feel experienced.

  • Rows

  • PLEASE READ CAREFULLY:
    We appreciate your interest in completing this application. If we have a position open in a department for which we feel you may be qualified, we will contact you. This is your best path to an interview, so please make sure you fill it out completely and clearly. We strive for a drug-free workplace and all applicants are required to take a drug test before they can be hired.

  • Date Of Application*
     - -


  • Date available to start: *   Will you travel if job requires it?      *   
    Referral Source:               *     

  • Availability:
    Hours available to work Monday through Sunday: (List below)

  • Rows

  • Page 2 of 6

  • Your Personal Information

  • Personal Address Different From Present Address?
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • May We Contact You At Work?*

  • Page 3 of 6

  • Do you have any friends or relatives working for the Poor Richard’s Press?*

  • If yes, state name(s) and relationship:
    *   *   |   *   

  • Have you ever applied to or worked for Poor Richard’s Press before?*
  • If hired, would you have a reliable means of transportation to and from work?*
  • Are you at least 18 years old?*
  • If hired, can you present evidence of your U.S. citizenship or proof of your legal right to live and work in this country?*
  • Are you able to perform the essential functions of the job for which you are applying, either with or without reasonable accommodation?*
  • Have you ever been terminated or asked to resign from a job?*
  • If hired for a position that requires driving for the company, can you provide a valid drivers license, proof of insurance and a current DMV record?*

  • Page 4 of 6

  • Education, Training and Experience

  • Rows
  • Rows

  • List below all present and past employment starting with your most recent employer (last five years is sufficient). Account for all periods of unemployment, Military service, and volunteer activities. You must complete this section even if attaching a resume.

  • Name of Employer:      
    Type of Business:      
    Your Supervisor's Name:      
    Phone:
          
    Address:
                   
    Dates of Employment:      
    Your Position and Duties:   
    Reason for Leaving:      
    May we contact this employer for a reference?         
    If 'No', Explain:      

  • Name of Employer:      
    Type of Business:      
    Your Supervisor's Name:      
    Phone:
          
    Address:
                   
    Dates of Employment:      
    Your Position and Duties:   
    Reason for Leaving:      
    May we contact this employer for a reference?         
    If 'No', Explain:      

  • Name of Employer:      
    Type of Business:      
    Your Supervisor's Name:      
    Phone:
          
    Address:
                   
    Dates of Employment:      
    Your Position and Duties:   
    Reason for Leaving:      
    May we contact this employer for a reference?         
    If 'No', Explain:      

  • Page 5 of 6

  • References

    List below three persons not related to you who have knowledge of your work performance within the last three years.

  • Name:            
    Phone:
          
    Address:
                   
    Occupation:      
    How Are You Acquainted?      # of Years Acquainted?      

  • Name:            
    Phone:
          
    Address:
                   
    Occupation:      
    How Are You Acquainted?      # of Years Acquainted?      

  • Name:            
    Phone:
          
    Address:
                   
    Occupation:      
    How Are You Acquainted?      # of Years Acquainted?      

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    Drag and drop files here
    Choose a file
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  • Page 6 of 6

  • Please Read Carefully, Initial Each Paragraph and Sign Below

  • I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.

  • I hereby authorize Poor Richard’s Press to thoroughly investigate my references, work record, education and other matters related to my suitability for employment and, further, authorize the references I have listed to disclose to the company any and all letters, reports and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release Poor Richard’s Press, my former employers and all other persons, corporations, partnerships and associations from any and all claims, demands, or liabilities arising out of or in any way related to such investigation or disclosure.

  • I understand that nothing contained in the application or conveyed during any interview which may be granted or during my employment, if hired, is intended to create an employment contract between me and Poor Richard’s Press. In addition, I understand and agree that if I am employed my employment is for no definite or determinable period and may be terminated at any time, with or without prior notice, at the option of either myself or Poor Richard’s Press and that no promises or representations contrary to the foregoing are binding on Poor Richard’s Press unless made in writing and signed by me and Poor Richard’s Press’s designated representative.

  • Should a search of public records (including records documenting an arrest, indictment, conviction, civil judicial action, tax lien or outstanding judgment) be conducted by internal personnel employed by Poor Richard’s Press, I am entitled to copies of any such public records obtained by Poor Richard’s Press unless I mark the check box below. If I am not hired as a result of such information, I am entitled to a copy of any such records even though I have checked the box below.

  • I waive receipt of a copy of any public record described in the paragraph above.*

  • After clicking SUBMIT, please allow a few moments for the application to process. You may or may not be asked to re-verify the 'I'm not a robot' checkbox. Once the application is successfully processed, you will receive a confirmation email in your inbox.

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