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Employment Application

Please fill out all of the fields completely. If a position exists that we feel you're qualified for, we'll contact you directly.

Application for Employment

Positions Available:

      Artist

      Embroidery Machine Operator

      Screen Printer

      Secretary

      Vinyl Specialist (Sign Maker)

      General Maintenance Worker/Screen Washer

Personal Information
*Name:
Date:
*Present Address:
*Telephone Number:
*SSN:
Position Applied For:  
*Do you consider yourself to be able to perform all the duties required by the job or jobs for which you are making application? Yes
No
   
*If your application is considered favorably, on what date will you be available for work?
 
Education
High School
Name:
City:
State:
No. Years Completed
Diploma
GED
Undergraduate
College/
University
Name:
City:
State:
Major:
No. Years Completed

Degree Earned
Graduate
College/
University
Name:
City:
State:
Major:
Degree Earned
Professional Licenses and/or Certification:
Type:
State Issued: Date:
Number
Work Experience
Please provide a complete record of all employment. List last employer first.
From: 
 
To: 
Employer’s Name:
Address:
Phone Number:
Supervisor:
Position:
Last Salary:
Reason for Leaving:
From: 
 
To: 
Employer’s Name:
Address:
Phone Number:
Supervisor:
Position:
Last Salary:
Reason for Leaving:
From: 
 
To:   
Employer’s Name:
Address:
Phone Number:
Supervisor:
Position:
Last Salary:
Reason for Leaving:
*Please summarize special job-related skills, qualifications, honors received, voluteer or community service or other qualifications you have which you feel are related to the position for which you are applying:
 
Professional References
Please provide the names of three persons, not related to you, whom you have known at least one year in a professional setting.
1. Name:
Address:
Phone Number:
Occupation:
Years Acquainted:


2. Name:
Address:
Phone Number:
Occupation:
Years Acquainted:


3. Name:
Address:
Phone Number:
Occupation:
Years Acquainted:


Certification

I hereby certify that the foregoing statements are true and correct to the best of my knowledge and belief, and hereby grant the organization permission to investigate all information contained in this application for employment. I hereby release the organization and its representatives from liability for seeking such information and also release all other persons, corporations, or organizations for furnishing such information. I understand that any false statement on this application may be considered as sufficient cause for rejection of this application or for dismissal if such false statement is discovered subsequent to my employment. I understand that I am free to resign at anytime and that the organization reserves the right to terminate my employment at any time, with or without cause and without prior notice. This is not a contract of employment.

I have read and understand the above paragraph. By checking the "agree" button below, I also authorize the professional background check.
*=Required Field
  

 

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Business 724-437-5815 | Fax 724-437-8320 | 10 West Coffey Street | Uniontown, PA 15401

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