Please describe past and present employment positions, starting with the most recent. Please date back five years, and account for all periods of unemployment.
List the names of persons who have knowledge of your work performance.
Applicant Acknowledgment. Please carefully read. I certify that I have not purposely withheld any information that might adversely affect my chances for hiring. I attest to the fact that the answers given by me are true and correct to the best of my knowledge and ability. I understand that any omission of material fact on this application or on any document used to secure employment can be grounds for rejection of the application or, if employed by the company, cause for immediate termination. I agree and understand that if I am hired by Molded Products, Inc., my employment will be at-will, for an indefinite period of time, and may be terminated at any time, with or without notice, at the option of either the company or myself. I hereby authorize Molded Products, Inc. to make any investigation of my employment and personal history through any investigative agency/agencies of its choice. In addition, I release the company, my former employers and all other persons, corporations and/or partnerships from any and all claims, demands or liabilities rising out of or in any way related to such examination or revelation.
Molded Products is an Equal Opportunity Employer. This application will not be used for limiting or excluding and applicant from consideration for employment on a basis prohibited by local, state or federal law. Molded Products complies with the ADA and will consider reasonable accommodation measures that may be necessary for applicants/employees to perform essential functions.