An Equal Opportunity Employer
On Line Resume

Sections:Employment Desired
Employment History
Education
References
Emergency Info
Disclaimer
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09/06/2010
Personal Information

First Name:
Last Name:
Social Security Number:
 - -
Present Address:
Street
City
State
ZIP
Permanent Address:
Street
City
State
ZIP
Telephone Number: ( )- -
E-mail:
Are you 18 Years or Older? Yes No

Are you a citizen of the United States? Yes No
If NO, are you legally eligible for employment in the United States? Yes No

Have you ever been convicted of a crime? Yes No
If YES, describe when, where and nature of the offense:
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Employment Desired
Position Applied For:
Date You
Can Start?
Salary
Desired?
Do you agree to work any shift to which you are assigned? Yes No
    Will you work on Saturday and/or Sunday when you work schedule requires it? Yes No
Are you employed Now? Yes No
If YES may we inquire of your present employer?
 Yes No
Have you ever worked for any Summit Polymers facility before? Yes No
If YES, when?(month/year)
Where?
Have you ever applied to Summit Polymers before? Yes No
If YES, when?(month/year)
How did you hear about employment opportunities at Summit?
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Education

Education
Name and Location of School
Number of Years Attended
Did you Graduate?
Subjects Studied
High School
Yes No
College
Yes No
Trade, Business or Correspondence School
Yes No
Any other subjects of special study?
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Employment History

List below your last four employers(including military services) starting with the last one first.
Date (Month/Year)
Name and Location of Employer
Salary
($/Yr) or ($/Hr)
Position
Reason for Leaving

Phone:

Phone:

Phone:

Phone:
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References
Give the names of three references that are familiar with your work performance
Name
Telephone Number
How do you know this person?
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Emergency Contact
In case of emergency, notify:

Name
Street Address
Telephone

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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.


Signature of applicant (type your name):
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