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

Page 1 of 6
Your Name*

First NameLast Name
Your E-mail*
Job Objective
Position(s) applying for:
1st Choice: * Full Time Part Time*
2nd Choice: Full Time Part Time
Skills
List the graphic arts equipment and/or graphic arts skills in which you feel experienced.

Enter at least one*

	Equipment and/or skills	Years	Very Experienced	Moderately Experienced
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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*

MonthDayYear
Date
Date available to start: * Will you travel if job requires it? Yes No*
Referral Source: Advertisement Employee Relative Walk-in Other?*
Availability:
Hours available to work Monday through Sunday: (List below)

	Mon	Tues	Wed	Thurs	Fri	Sat	Sun
TO
FROM

Page 2 of 6
Your Personal Information
Present Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Personal Address Different From Present Address?

YesNo
Personal Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Phone Number*
Please enter a valid phone number.
Home Number
Please enter a valid phone number.
Business Phone Number
Please enter a valid phone number.
May We Contact You At Work?*

YesNo
Best Time To Contact You At Work?*

Hour Minutes

AM/PM Option

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:   First Name   Last Name
Phone:
Area Code   Phone Number
Address:
Street Address   Address Line 2   City   State   Zip
Occupation:
How Are You Acquainted?      # of Years Acquainted?
Name:   First Name   Last Name
Phone:
Area Code   Phone Number
Address:
Street Address   Address Line 2   City   State   Zip
Occupation:
How Are You Acquainted?      # of Years Acquainted?
Name:   First Name   Last Name
Phone:
Area Code   Phone Number
Address:
Street Address   Address Line 2   City   State   Zip
Occupation:
How Are You Acquainted?      # of Years Acquainted?
Please furnish any other information you feel may be beneficial to your application:
What's on your mind?
Upload Your Resume

File size must be less than 30 MB and must use these file extensions:PDF
Cancelof

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.
Initials*

Clear
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.
Initials*

Clear
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.
Initials*

Clear
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.
Initials*

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

YesNo
Applicant's Signature*

Clear
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.
Should be Empty:

	A: School Name	B: City & State	C: Years Completed	D: Degreee or Diploma	E: Pertinent Coursework	F: GPA
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	Language	Fluent: Read, Write, & Speak	Read	Write	Speak
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