Meloon - Employment Application

Full Name (Required)
Phone (Required)
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState

Zip Code
Are you 18 years old or older?
Type of work desired
If hired, can you provide proof of your eligibility to work in the United States?
Apart from absence for religious observance, are you available for full-time work?
If not, what hours can you work?

Hour Minutes

AM/PM Option

Until

Hour Minutes

AM/PM Option
Will you work overtime if asked?
What date will you be available for work?

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Are you able to lift up to 50 pounds on a regular basis, as required by the essential functions of the

Experience

We may contact the employers listed above unless you indicate those you do not want us to contact. If you wish us to not contact your prior employers, please list the employer below.
Do not contact
What is the reason?

Education

Personal References (Not Relatives)

Emergency Contact
Telephone
Please enter a valid phone number.Format: (000) 000-0000.
I hereby certify that the above statements are true. Should any information be false, I understand that this is sufficient case for dismissal. Should I be accepted for employment, I agree to comply with all company rules and regulations, to learn my work thoroughly and to take every precaution so that I will not cause injury to myself or to my fellow workers. I understand that acceptance of an offer of employment does not create a contractual obligation upon the Employer to employ me in the future.

All new hires will be placed on a 90-day probationary period and must successfully pass a drug test and a placement physical examination prior to be eligible for regular employment.
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Please verify that you are human
Should be Empty: