Employment Application

We deeply appreciate your interest in our organization and assure you that we are sincerely interested in your qualifications. A clear understanding of your background and work history will aid us in placing you in the position that best meets your qualifications and may assist us in possible future upgrading.


Personal Information

*Field Required

*Are you legally eligible for employment in the U.S.A.?

  • Yes
  • No

State age if under 18 or over 70.

*What method of transportation will you use to get to work?

*Position(s) applying for:

*Rate of pay expected per week:

*Are you looking for full-time or part-time employment?

  • Full-Time
  • Part-Time

Specify days and hours if part-time:

*Were you previously employed by us and if so, when?

  • Yes
  • No
  • When?

*If your application is considered favorably, when can you start?

Are there any other experiences, skills or qualifications which you feel would especially fit you for work within our organization?

*Have you ever been convicted of a felony and if so, please explain:

  • Yes
  • No
  • Explain:

Education Information

Please complete all applicable education fields.

ELEMENTARY SCHOOL

*Name and address:

*Last year completed:

*Did you graduate?

  • Yes
  • No

High SCHOOL

*Name and address:

Course of study:

*Last year completed:

*Did you graduate?

  • Yes
  • No

*List diploma or degree:

COLLEGE

Name and address:

Course of study:

Last year completed:

Did you graduate?

  • Yes
  • No

List diploma or degree:

OTHER EDUCATION

Name and address:

Course of study:

Last year completed:

Did you graduate?

  • Yes
  • No

List diploma or degree:


Work Experience

List below all present and past employment, beginning with your most recent.

1 Name and address of company

Type of business

Phone

Years employed with this company

From To

Describe work performed

Weekly starting salary

Weekly last salary

Reason for leaving

Name of supervisor

May we contact this employer?

  • Yes
  • No

2 Name and address of company

Type of business

Phone

Years employed with this company

From To

Describe work performed

Weekly starting salary

Weekly last salary

Reason for leaving

Name of supervisor

May we contact this employer?

  • Yes
  • No

3 Name and address of company

Type of business

Phone

Years employed with this company

From To

Describe work performed

Weekly starting salary

Weekly last salary

Reason for leaving

Name of supervisor

May we contact this employer?

  • Yes
  • No

4 Name and address of company

Type of business

Phone

Years employed with this company

From To

Describe work performed

Weekly starting salary

Weekly last salary

Reason for leaving

Name of supervisor

May we contact this employer?

  • Yes
  • No

Personal References

Please do not include former employers or relatives

1 Name and occupation

Address

Phone

2 Name and occupation

Address

Phone

3 Name and occupation

Address

Phone

Do you have a relative (spouse, sibling, parent, in-law) currently employed at Index Packaging?

  • Yes
  • No
  • If yes, who:

Resume Submittal

Please upload your resume if you would like. Only PDF or Word files accepted under 10Mb.