ABOUTNEWS/UPDATESCONTACT HAND FILM MACHINE FILM AGRISEAL CUSTOM FILMS Application for Employment First Name Middle Name Last Name Date US Phone - - Email Street City State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zipcode Position Applied For How many hrs/wk can you work? And date avalaible to start? How did you hear about this job? Please list special skills, experience, and/or training that would enhance your ability to perform the position applied for Employment History Include the last seven (7) years of employment, include periods of employment, starting with the most recent and working backwards in time. Company Name US Phone - - Street City State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zipcode Job Title Reason for Leaving Supervisor's Name Job Duties: Employment History Continued Company Name US Phone - - Street City State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zipcode Job Title Start Date and End Date of Employment Reason for Leaving Supervisor's Name Job Duties Employment History Continued Company Name US Phone - - Street City State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zipcode Job Title Start Date and End Date of Employment Reason for Leaving Supervisor's Name Job Duties Start Date and End Date of Employment Employment History Continued Please add any additional employment in the past seven (7) years. Please include company, phone number, address, job title, employment start and end date, reason for leaving, supervisor's name, and job duties for each job. Education Name of High School Did you graduate? Yes No Street City State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zipcode Name of College, Trade, Business Education Street City State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zipcode Did you graduate? Yes No Degree Professional References 1. Name US Phone - - Email Current Job Relationship to you 2. Name US Phone - - Email Current Job Relationship to you 3. Name Email US Phone - - Current job Relationship to you Additional Information *Please check the answer that applies to you Are you legally eligible to be employed in the United States? Yes No Are you 18 years or older? Yes No If Norflex offers you employment, your offer will be conditional on passing a physical/medical exam and drug screening. Are you willing to do so? Yes No If you wish to be considered for positions that require driving, do you have a current, valid, and unrestricted driver's license? Yes No Acknowledgment I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for Norflex, Inc. to hire me. If I am hired, I understand that either Norflex, Inc. 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 Norflex, Inc. has the authority to make any assurance to the contrary. I attest by checking the box "yes" below that I have given true and complete information on this application. No requested information has been concealed. I authorize Norflex, Inc. to contact references provided for employment reference checks. Yes Date Our lead times are the fastest in the industry. HomeAboutAgriculturalCustom FilmsAll ProductsNews/UpdatesContactApplication for Employment Follow us: Norflex, Inc. | 720 Norflex Drive, Hudson, WI 54016 | P: 800-556-0887 F: 715-386-7123 E: info@norflex.com Copyright © 2021 Norflex, Inc. All Rights Reserved. Website designed and hosted by Esultants Web Services.