• Lenoir Mirror Company

  • Application For Employment

  • It is our policy to comply with all applicable state and federal laws prohibiting discrimination in employment based on race, age, color, sex, religion, national origin, disability or other protected classifications.

    Please carefully read and answer all questions. You will not be considered for employment if you fail to completely answer all the questions on this application. You may attach a résumé, but all questions must be answered.

  • PERSONAL DATA

  • Date Of Birth*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Do you have a High School Diploma or GED?*
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Previously Employed with Lenoir Mirror Comp.?*
  • Are you authorized to work in the U.S. on an unrestricted basis?*
  • Have you ever been convicted of a felony? (Convictions will not necessarily disqualify an applicant for employment.)*
  • Have you been told the essential functions of the job or have you been viewed a copy of the job description listing the essential functions of the job?*
  • Can you perform these essential functions of the job with or without reasonable accommodation?*
  • College/University*
    Rows
  • REFERENCES Please list three professional references not related to you, with full name, address, phone number, and relationship. If you don’t have three professional references, then list personal, unrelated references.
    Rows

  • Work History

  • Start Date (mo/day/yr)
     / /
    2 digit month, 2 digit day, 4 digit year
  • End Date (mo/day/yr)
     / /
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.
  • May we contact your present/previous employer?
  • Start Date (mo/day/yr)
     / /
    2 digit month, 2 digit day, 4 digit year
  • End Date (mo/day/yr)
     / /
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.
  • Start Date (mo/day/yr)
     / /
    2 digit month, 2 digit day, 4 digit year
  • End Date (mo/day/yr)
     / /
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.
  • Start Date (mo/day/yr)
     / /
    2 digit month, 2 digit day, 4 digit year
  • End Date (mo/day/yr)
     / /
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.

  • I certify that the facts set forth in this Application for Employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements, omissions or misrepresentations may result in my dismissal. I authorize the Employer to make an investigation of any of the facts set forth in this application and release the Employer from any liability. The employer may contact any listed references on this application.

  • Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  •  
  • Should be Empty: