Positions (s) applied for

Shift 1 2 3

Date of Application:         

How did you learn about us?
Advertisement                 Friend         Walk-In
Employment Agency        Relative        Web-Search
Other:
 

First Name
Middle Name
Last Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
FAX
E-mail

                                                                                                            
If you are under the age of 18 years of age, can you provide required   Yes    No
proof of your eligibility to work?

Have you ever filed an application with us?                                          Yes    No  

            If Yes, give date   

Have you ever been employed with us before?                                    Yes    No  

            If Yes, give date   

 

Are you currently employed?                                                              Yes    No

May we contact your present employer?                                             Yes    No

Are you prevented from lawfully becoming employed in this
country because of Visa or Immigration Status?                                   Yes    No
  Proof of citizenship or immigration status will be required upon employment.

On what date would you be available for work?    

Are you available for work: Full Time Part Time Shift Work Temporary

Are you currently on "lay-off" status and subject to recall?                   Yes    No

Can you travel if a job requires it?                                                       Yes    No

Have you been convicted of a felony within the last 7 years?               Yes    No    
    Conviction will not necessarily disqualify an applicant from employment.

If Yes, Please Explain:

We are an equal opportunity employer.

Education

Elementary School Name and Location:

High School Name and Location:          
Years completed:9 1011 12
Diploma/Degree Yes    No
GED                  Yes    No
HSED                Yes    No

Undergraduate College / University:      
Years completed:1 23 4
Diploma/Degree
Describe Course of Study

Graduate / Professional:                        
Years completed:1 23 4
Diploma/Degree
Describe Course of Study

Describe any specialized training, apprenticeship, skills and extra-curricular activities:

Describe any honors you have received:

State any additional information you feel may be helpful to us in considering your application:


 

Indicate any foreign languages you can speak, read and or write:
                     Fluent                   Good                    Fair
Speak    
Read          
Write     

List professional, trade, business or civic activities and offices held.
    You may exclude memberships which would reveal sex, race, religion, national origin, age,
    ancestry, or handicap or other protected status:
 

References

Give name, address and telephone number of three references who are not related to
you and are not previous employers.
1.   
      
2.   
      
3.   
      

Have you ever had any job-related training in the United States military?Yes    No
If yes please describe:

General Physical Requirements for Jobs at Straus Knitting

Job requirements may include standing for up to 10 hours, sitting up to 8 hours, the
capacity to lift up to 50 pounds and the capacity to carry or pull 50 pounds for 500
feet. The specific requirements of the job you are applying for will be discussed with
you if you interview.

Are you physically or otherwise unable to perform the duties of the job for which you are
applying? Yes    No

Please explain in the interview if one or more of the described requirements may cause you
difficulty in performing the job.

Employment Experience

Start with your present or last job. Include any job-related military service assignments and
volunteer activities. You may exclude organizations which would indicate gender,
race, color, religion, national origin, handicap or other protected status.

1.        Employer:
           Dates Employed: From: To:
           Address:    
           Telephone Number (s)   
           Job Title:  
           Supervisor:
           Starting Rate/Salary: Ending Rate/Salary:
           Reason for Leaving:
           Work Performed:   

2.        Employer:
           Dates Employed: From: To:
           Address:    
           Telephone Number (s)   
           Job Title:  
           Supervisor:
           Starting Rate/Salary: Ending Rate/Salary:
           Reason for Leaving:
           Work Performed:   

3.        Employer:
           Dates Employed: From: To:
           Address:    
           Telephone Number (s)   
           Job Title:  
           Supervisor:
           Starting Rate/Salary: Ending Rate/Salary:
           Reason for Leaving:
           Work Performed:   

4.        Employer:
           Dates Employed: From: To:
           Address:    
           Telephone Number (s)   
           Job Title:  
           Supervisor:
           Starting Rate/Salary: Ending Rate/Salary:
           Reason for Leaving:
           Work Performed:   

If you need additional space please list this information here:




Special Skills and Qualifications
Summarize special job-related skills and qualifications acquired from employment or other experience.



 

 

 

 

 

Straus Knitting Mills, Inc.

Applicant Reference Release

It is my understanding that the company will make a thorough investigation
of my entire work and personal history and may verify all data given in my
application for employment, related papers, or oral interviews. I authorize
such investigation, the giving and receiving of any information requested by
the company, and I release from liability any person giving or receiving any
such information. I understand that falsification of data so given or other
derogatory information discovered as a result of this investigation may
prevent my being hired, or if hired, may subject me to immediate dismissal.

I have read and understood the above.

Signature 
Date Signed:
 

 

 

 

 

 

 

 

 

 

 

 

Applicants Statement
 

I certify that answers given herein are true and complete to the best of my knowledge.
I authorize investigation of all statements contained in this application for employment as
may be necessary in arriving at an employment decision.

This application for employment shall be considered active for a period of time not to
exceed 45 days. Any applicant wishing to be considered for employment beyond this
time period should inquire as to whether or not applications are being accepted at that time.

I hereby understand and acknowledge that; unless otherwise defined by applicable law, any
employment relationship with this organization is of an "at will" nature, which means that
the Employee may resign at any time and the Employer may discharge Employee at any
time with or without cause. It is further understood that this "at will" employment
relationship may not be changed by any written document or by conduct unless such
change is specifically acknowledged in writing by an authorized executive of this organization.

In the event of employment, I understand that false or misleading information given in
my application or interview(s)  may result in discharge. I understand, also, that I am
required to abide by all rules and regulations of the employer.

Signature of Applicant:
Date Signed: