MANUFACTURING AND LIGHT INDUSTRIAL
L2 Placement Pros.com
Name
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First Name
Last Name
Address
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Street Address
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City
State / Province
Postal / Zip Code
Date of birth
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Month
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Day
Year
Date
Sex
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Social Security Number
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Enter your SSN in the format XXX-XX-XXXX.
Email
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example@example.com
Phone Number
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Format: (000) 000-0000.
Position Applied For:
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Available Start Date
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Month
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Day
Year
Date
Desired Hourly Pay range $__________ to $__________
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Payment Method
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Paycard
Direct Deposit
Health and Medical Coverage
Please answer the following question.
Are you interested in health and medical coverage?
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Yes
No
Background Check
Have you ever been convicted of a Felony?
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Yes
No
Are you at least 18 years old?
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Yes
No
Authorized to work in the U.S.?
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Yes
No
Preferred Shift (check all that apply)
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Day
Evening
Night
Able to stand for long periods?
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Yes
No
Able to lift required weight?
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Yes
No
Previous manufacturing or food production experience (brief):
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Previous manufacturing or food production experience (brief):
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EMPLOYMENT APPLICATION & POLICY ACKNOWLEDGMENT
(Unemployment, Attendance & Job Abandonment Policy)Applicant Certification & UnderstandingI understand that submission of this application does not guarantee employment. If hired, I agree to comply with all company policies, procedures, and assignment expectations.I certify that all information provided in this application is true and complete. I understand that any false or misleading information may result in disqualification from employment or termination if discovered after hire.At-Will Employment StatementI understand that my employment with the company is at-will, meaning that either I or the company may terminate the employment relationship at any time, with or without cause or notice, subject to applicable law.Attendance & Assignment Commitment PolicyAs a temporary employee, I understand that consistent attendance and completion of assigned work are essential job requirements.I agree to:Report to work as scheduled and on timeFollow all assignment instructions provided by the company and / or clientNotify the company immediately if I am unable to report to work or will be lateFailure to meet these expectations may result in disciplinary action, including termination.Job Abandonment / Voluntary Resignation PolicyI understand that the following actions may be considered a voluntary resignation:Leaving an assignment or worksite without notifying a supervisor or the companyFailing to report to work for [ 2 – 3 consecutive shifts ] without proper notificationRefusing to continue an assignment without communicating with the companyI acknowledge that job abandonment or voluntarily leaving an assignment may impact eligibility for certain benefits, including unemployment benefits, as determined by the appropriate state agency, such as the Kansas Department of Labor.Assignment Completion & Communication PolicyI understand that:I am expected to complete all job assignments unless otherwise directedIf I wish to end an assignment, I must notify the company prior to leavingFailure to communicate regarding assignment status may be treated as a voluntary quitUnemployment Claim AcknowledgmentI understand that:The company does not determine eligibility for unemployment benefitsEligibility decisions are made by the appropriate state agencyMy actions, including attendance, communication, and assignment completion, may be considered in determining eligibilityConsent & AcknowledgmentBy signing below, I acknowledge that I have read, understand, and agree to the above policies and expectations.I understand that failure to follow these policies may result in termination of employment.
Applicant Name
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