Employment Application
Position applying for: ________________________________________________________________________
Name: _________________________________________________________
Date: __________________
First
Middle
Last
Preferred Name/Nickname: _______________________________________
S.S. # ______ ____ ______
Address: __________________________________________________
Home Phone: ________________
City: _____________________
State: ____ Zip Code: ___________
Mobile Phone: _________________
Relatives working for Alice Mfg. & Relationship: ___________________________________________________
___________________________________________________
Friends working for Alice Mfg.: _________________________________________________________________
How did you find out about us? SCWorks Greenville News Career Builder Other:_________________
Education
Last Grade
Are You Currently
Last School Attended
Completed
Attending School?
Work Experience
Rate
Employment
Employer
Job Duties
of Pay
Dates
Reason for Leaving
Present
From:
To:
Last Employer
From:
To:
Next to Last Employer
From:
To:
Check ALL shifts for which you are available: 1
st
_____ 2
nd
_____ 3
rd
_____
Have you ever worked for Alice Mfg. Co.? Yes _____, No _____. If yes, give Plant and Dept: ________
Have you ever been convicted of a crime other than a traffic violation? Yes _____ No _____
If yes, please note the date, crime and disposition on the back.
Convictions are not an automatic bar to employment. The
Company will consider the nature of the job for which you are applying; the nature of the crime; and the passage of time before making any
determination about whether a conviction will be a bar to employment.
Personal Reference (no relatives)
Name: _______________________ Occupation: _______________________ Phone: _____________
Address: ___________________________________________________________________________
The company conducts its business with the highest possible degree of safety and efficiency. Because of this, the company
requires all applicants for employment to undergo blood and/or urinalysis screening for drug use as part of their preplacement
examination. In addition, all employees of the company are subject to blood tests or urinalysis screening for drug use.
ALICE MANUFACTURING ADHERES TO CONCEPT OF EMPLOYMENT COMMONLY KNOWN AS EMPLOYMENT “AT
WILL." THIS MEANS THAT EITHER YOU OR THE COMPANY MAY TERMINATE THE EMPLOYMENT RELATIONSHIP AT
ANY TIME WITHOUT PRIOR NOTICE.
Signature___________________________________
Form #138 (revised 2/29/2016)
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