Employment Application Form
LWS IS AN EQUAL OPPORTUNITY EMPLOYER. ALL APPLICANTS AND ASSOCIATES ARE CONSIDERED ON THEIR OWN MERIT WITHOUT REGARD TO RACE, COLOR, SEXUAL ORIENTATION, AGE, RELIGIOUS PREFERENCE OR CREED, NATIONAL ORIGIN, MARITAL STATUS, OR PHYSICAL LIMITATION.
Information
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Primary Phone No.
Please enter a valid phone number.
Format: (000) 000-0000.
Cellular Phone No.
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Information
Emergency Contact Name (1)
First Name
Last Name
Emergency Contact Phone No. (1)
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Name(2)
First Name
Last Name
Emergency Contact Phone No. (2)
Please enter a valid phone number.
Format: (000) 000-0000.
Employment Information
Are you at least 18 years of age or older?
Yes
No
Are you eligible to work in the United States?
Yes
No
Position applying for:
Desired Pay Range:
Do you have reliable transportation?
Yes
No
How far are you willing to travel? (Ex. 20 mi)
Shift Availability
First Shift
Second Shift
Third Shift
Please select skills that might apply to you:
Word
W.P.M
Assembly
Excel
Soldering
Ld/Unld
Publisher
Packing
Outlook
O/P
PPT
Labeling
Other
Special Skills
Are you willing to work in the following work environments?
Cold
Hot
Noisy
Strong Odor
Dusty
Work Experience
Most Recent Employer:
If you have no prior work experience, please put N/A
Job Title
Duties
Last Date Worked
-
Month
-
Day
Year
Salary
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Signature
Date
-
Month
-
Day
Year
Continue
Continue
Should be Empty: