You are here

Online Application Form

Personal Information
xxx-xx-
Present Address
Permanent Address
Enter your telephone number (xxx) xxx-xxxx
YesNo
Are you 18 Years or Older?
Are you a citizen of the United States?
If NO, are you legally eligible for employment in the United States?
Employment Desired
$
YesNo
Do you agree to work any shift to which you are assigned?
Will you work on Saturday and/or Sunday when your work schedule requires it?
Are you employed Now?
If YES may we inquire of your present employer?
Education
 School NameYears AttendedGraduated?Subject(s) Studied
High School
College
Trade, Business or Correspondence
Employment History

List below your last four employers(including military services) starting with the last one first.

 Date Started (Month/Year) Date Left (Month/Year)Name & Location of EmployerPhoneSalary ($/Yr) or ($/Hr)PositionReason for Leaving
$
$
$
$
References

Give the names of three references that are familiar with your work performance. (Preferably Supervisors)

 NameTelephone NumberHow do you know this person?
Emergency Contact

In case of emergency, notify:

 NameStreet AddressTelephone
Disclaimer/Signature

I UNDERSTAND THAT, IF I AM HIRED BY SUMMIT POLYMERS, I WILL BE EMPLOYED ON AN INDEFINITE BASIS AND MY EMPLOYMENT WILL BE SUBJECT TO TERMINATION WITH OR WITHOUT PRIOR DISCIPLINE, NOTICE OR WARNING, AND WITH OR WITHOUT CAUSE.

I HEREBY AFFIRM THAT THE INFORMATION PROVIDED ON THIS APPLICATION (AND ACCOMPANIED RESUME, IF ANY) IS TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. I ALSO AGREE THAT ANY FALSE INFORMATION OR SIGNIFICANT OMISSIONS MAY DISQUALIFY ME FROM FURTHER CONSIDERATION FOR EMPLOYMENT AND MAY RESULT IN DISCIPLINE OR DISMISSAL IF DISCOVERED AT A LATER DATE.

I AUTHORIZE THOROUGH INVESTIGATION OF MY PAST EMPLOYMENT AND EDUCATION, AGREE TO COOPERATE IN SUCH INVESTIGATION, AND RELEASE FROM ALL LIABILITY AND RESPONSIBILITY ALL PERSONS AND CORPORATIONS REQUESTING OR SUPPLYING SUCH INFORMATION.

I UNDERSTAND THAT ACCORDING TO FEDERAL LAW, ALL INDIVIDUALS WHO ARE HIRED MUST, AS A CONDITION OF EMPLOYMENT, PRODUCE CERTAIN DOCUMENTATION TO VERIFY THEIR IDENTITY AND U.S. CITIZEN STATUS OR, IF ALIENS, THEIR LEGAL AUTHORIZATION TO WORK IN THE U.S. AS A CONSEQUENCE, I UNDERSTAND THAT ANY OFFER OF EMPLOYMENT WOULD BE CONTINGENT ON MY ABILITY TO PRODUCE REQUIRED DOCUMENTATION WITHIN THE TIME PERIOD REQUIRED BY LAW.

Upload Resume

Contact Information

Technical Center:
6715 South Sprinkle Road
Portage MI 49002
(269) 324-9330

Dearborn Sales and Design:
15101 North Commerce Drive
Dearborn, MI 48120
(313) 583-6000