Employment Application

Personal Information

Candidate's Name (Last, First, Middle):
Last Name: First Name: Middle Name:

Address: City: State: Zip Code:

Home Telephone Number: Mobile Phone Number: E-mail Address:

Best way to contact:

Home Phone Cell Phone Text E-mail

Are you 18 years old or older? Yes No

Are you legally authorized to work in the U.S.? Yes No

Can you submit documentation verifying your identity and your legal right to work in the U.S.? Yes No

Have you ever worked or attended school under another name? Yes No

Have you ever been convicted of a felony? Yes No

Have you ever been terminated from employment or asked to resign by an employer? Yes No

Position/Availability

Position Sought:

Available Start Date:

Hourly/Salary Desired:

Total hours per week desired:

What type of employment are you seeking?

Can you work any shift? Yes No

Can you work overtime, including weekends? Yes No

Are you available to work weekends? Yes No

Are you available to work holidays? Yes No

Are you available to work nights? Yes No

Are you able to perform the essential functions of the job for which you are applying? Yes No

Referral Source

How did you hear about us?

Have you ever worked for this company before? Yes No

Do you know anyone who works for our company? Yes No

Education

Education Level	Name and Location	Graduated?	Major/Subject of Study
High School:		Yes No
Technical School:		Yes No
College/University:		Yes No
Postgraduate School:		Yes No
Other Education:		Yes No

Do you have any Licenses, Certifications or Credentials applicable to the position? Yes No

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. Incomplete information could disqualify you from further consideration.

Employer 1

Employer:

Address:

From to:

Position Held:

Reason for leaving:

Supervisor's Name & Title:

May we contact? Yes No

Description of Duties:

Starting Pay: Final Pay:

Employer 2

Employer:

Address:

From to:

Position Held:

Reason for leaving:

Supervisor's Name & Title:

May we contact? Yes No

Description of Duties:

Starting Pay: Final Pay:

References

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

Reference Name	Address	Phone	Email	Company	Years Acquainted

Acknowledgement and Authorization

Western Container is an equal opportunity employer. Western Container does not discriminate in employment on account of 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.

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for Western Container to hire me. If I am hired, I understand that either Western Container 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 Western Container has the authority to make any assurance to the contrary.

I attest with my signature below that I have given to Western Container true and complete information on this application. No requested information has been concealed. I authorize Western Container 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.

Candidate's Signature: Date:

Please upload your resume to complete your application. Ensure that your resume is in PDF, DOCX, or TXT format.

Resume (PDF, DOCX, or TXT):