SHORELINE MANUFACTURING APPLICATION FOR EMPLOYMENT

SHORELINE MANUFACTURING APPLICATION FOR EMPLOYMENT
Shoreline Manufacturing is an equal opportunity employer. Shoreline Manufacturing does not discriminate in employment with regard to race, color, religion, national origin, citizenship status, ancestry, age, sex (including sexual harassment), sexual orientation, marital status, physical or mental disability, military status or unfavorable discharge from military service or any other characteristic protected by law.
PERSONAL INFORMATION

Incomplete information could disqualify you from further consideration. Please complete all fields.
Name
Date

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Home Phone #
Please enter a valid phone number.
Mobile Phone #
Please enter a valid phone number.
Are you eligible to work in the U.S?

YesNo
Are you at least 18 years or older? (If no, you may be required to provide authorization to work.)

YesNo
Have you ever been terminated from employment or asked to resign by an employer?

YesNo
If yes, please provide company names and details.
Can you work any shift?

YesNo
If no, explain:
Can you work overtime, including weekends if needed?

YesNo
Are you able to perform the essential functions of the job for which you are applying, with or without a reasonable accommodation?

YesNo
EMPLOYMENT DESIRED
Date you can start

MonthDayYear
Date
Hourly rate/Salary desired
Are you currently employed?

YesNo
If so may we inquire of your present employer?

YesNo
REFERRAL SOURCE
How did you hear about us?

Walk InAdvertisementReferralOther
Have you ever worked for this company before?

YesNo
Explain
Do you know anyone who works for our company?

YesNo
If yes, who?

EDUCATION

	Name and location of school	Degree Received	Subjects studied/Major
High School
College or University
Trade, Business or Correspondence School

EMPLOYMENT HISTORY

Include your last seven (7) years of employment history, including periods of unemployment, starting with the most recent and working backwards in time.
From

MonthDayYear
Date
Date

MonthDayYear
Date
Employer Name
Telephone
Please enter a valid phone number.
Job Title
Address
Immediate supervisor and title
Summarize the nature of work performed and job responsibilities
Reason for leaving
From

MonthDayYear
Date
To

MonthDayYear
Date
Employer Name
Telephone
Please enter a valid phone number.
Job Title
Address
Immediate supervisor and title
Summarize the nature of work performed and job responsibilities
Reason for leaving
From

MonthDayYear
Date
To

MonthDayYear
Date
Employer Name
Telephone
Please enter a valid phone number.
Job Title
Address
Immediate supervisor and title
Summarize the nature of work performed and job responsibilities
Reason for leaving
From

MonthDayYear
Date
To

MonthDayYear
Date
Employer Name
Telephone
Please enter a valid phone number.
Job Title
Address
Immediate supervisor and title
Summarize the nature of work performed and job responsibilities
Reason for leaving
Do you have any special skills, experience and/or training that wouldenhance your ability to perform the position applied for?

YesNo
If yes, explain.
REFERENCES

Give the names of three persons not related to you, whom you have known at least three (3) years

	Name	Address, Phone, Email	Company	Years Acquainted
1
2
3

RESUME

Upload Your Resume Below
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Please read carefully before signing.

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for Shoreline Manufacturing to hire me. If I am hired, I understand that either Shoreline Manufacturing or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of Shoreline Manufacturing has the authority to make any assurance to the contrary.

I attest with my signature below that I have given to Shoreline Manufacturing true and complete information on this application. No requested information has been concealed. I authorize Shoreline Manufacturing to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal.
Date

MonthDayYear
Date
Signature

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SHORELINE MANUFACTURING APPLICATION FOR EMPLOYMENT

PERSONAL INFORMATION

EMPLOYMENT DESIRED

REFERRAL SOURCE

EMPLOYMENT HISTORY

REFERENCES

RESUME