The Guide - Employment Opportunities

APPLICATION FOR EMPLOYMENT
Please complete the application in its entirety.

Position(s) Applied For:

Date:

Full Time:

Part Time:

Date Available for Work:

GENERAL INFORMATION

Full Name (Last, First, Middle):

Phone #:

Street Address:

City:

State:

Zip:

Can you safely and substantially perform essential duties of the position for which you have applied with or without accommodations?

Yes

No

Have you ever been convicted of a felony or misdemeanor that would be considered directly related to the job for which you have applied?
(A yes answer will not necessarily bar you from employment.)

Yes

No

Are you able to meet the attendance requirements for this position?

Yes

No

Do you have the legal right to live and work in the U.S.?

Yes

No

If you are currently employed, may we contact your employer?

Yes

No

EDUCATION AND TRAINING
Name of School	City/State	Did you Graduate?	If No, # of Years Left to Graduate	If yes, Date of Graduation	Degree Received	Major
High School:
GED:
College:
College:
College:

List any skills that pertain to the position you are applying for:

List any certifications, training, etc. that pertains to the position you are applying for:

EMPLOYMENT HISTORY
• List former employers below. Start with your current or most recent job - include armed forces service and self employment.

Employer:

Address:

Telephone Number:

Dates Employed:
From: To:

Position:

Salary:

Duties:

Reason For Leaving:

Employer:

Address:

Telephone Number:

Dates Employed:
From: To:

Position:

Salary:

Duties:

Reason For Leaving:

Employer:

Address:

Telephone Number:

Dates Employed:
From: To:

Position:

Salary:

Duties:

Reason For Leaving:

By signing this application, I declare that the information provided by me is complete and true to the best of my knowledge. I understand that any misrepresentation or omission on this application may preclude an offer of employment, or may result in a withdrawal of an employment offer, or may result in my discharge from employment if I am already employed at the time the misrepresentation or omission is discovered.

I agree that, just as I have, if hired, the right to terminate my employment at any time, with or without cause and with or without notice, the company, other that its president or his designee, has any authority to enter into any agreement for employment for any specified period of time or make any agreement contrary to the foregoing either now, in the past or in the future. I further understand that such an agreement must be in writing or signed by the president for it to be binding on either myself or the company. I further understand that this statement supersedes any prior oral or written understanding and bars any future oral understanding to the contrary.

I understand that clicking the submit button below that I am electronically signing this application.

Sussex Printing Corp. is a smoke-free work environment.
Sussex Printing Corp. is an equal opportunity employer and will not discriminate, or tolerate discrimination, against any employee or applicant in any manner prohibited by law.

302.629.5060