Lägler North America - Employment Application

Employment Application Form:

Note: All employment applications MUST be completed in full - Incomplete applications WILL NOT be considered.
Personal Information:
Full Name*

First NameMiddle NameLast Name
Sex*

MaleFemaleChose not to answer
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
E-mail*
Birth Date*

MonthDayYear
Are you over the age of 18?
Employment Desired:
Position Applying For*
Salary Desired*
Background Information:
Have You ever plead "guilty" or "no contest" or been convicted of a crime?*

YesNo
If yes, details must be provided.
Physical Record
List any physical limitations, such as, hearing or eyesight issues.
Lägler North America provides reasonable accommodations to applicants with disabilities to assist in the hiring process, as required by applicable federal, state, and local law. Individuals can request an accommodation to complete this application or to participate in the interview process by contacting Human Resources.
Have You ever had an 'on the job' injury?*

YesNo
If yes, please provide details including permanent disability (if any); if not provided your employment will not be considered:
Skills/Qualifications:
Skills
List any relevant skills
Qualifications
List any relevant certifications or qualifications
Current Employment:
Current Employer
Name of Current Employer or NONE if not Employed
Position
Salary
Reason for Leaving?
Start Date

MonthDayYear
Date
May We Contact?

YesNo
Previous Employment:
Previous Employer
Name of Previous Employer
Position
Salary
Reason for Leaving?
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Previous Employer
Name of Previous Employer
Position
Salary
Reason for Leaving?
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
References:
Reference 1
Name of Reference
Relationship
Years Acquainted
Phone
Email
Reference 2
Name of Reference
Relationship
Years Acquainted
Phone
Email
Cover Letter & Resume (Optional):
Cover Letter

Upload a File

Cancelof
Resume

Upload a File

Cancelof
Hiring Information:
1. If you are hired as a warehouse associate, you must be able to provide the following items: jeans or work shorts/pants and steel toed boots: no sneakers or flip flops. You will not be allowed to work unless you provide all of these items each and every time you work.

2. You must provide two (2) permenant, current, unexpired forms of identification when you are hired - acceptable forms are listed on the I-9 Document here.

3. You are responsible for providing your own transportation to and from work. You are responsible for arriving on time and you are responsible for clocking in and out.
Signature Date*
MM-DD-YYYY
Signature - To acknowledge you have read the information above.*

Clear
Send Application:
By clicking the submit button below, I cerity that all of the information provided by me on this application is true and complete, and I understand that if any false information, ommissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employement may be terminated at any time. In consideration of my employment, I agree to conform to the company's rules and regulations, and I agree that my employment and compenstation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company's option. I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by the company.

I understand that this is not confirmation of employement and that it is an application for employment only.
Should be Empty:

Employment Application Form:

Personal Information:

Employment Desired:

Background Information:

Skills/Qualifications:

Current Employment:

Previous Employment:

References:

Cover Letter & Resume (Optional):

Hiring Information:

Send Application: