HR Partners Application

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  • Employment Application

    Federal and state law prohibits discrimination in employment because of gender, age, race, color, religion, national origin, citizenship, veteran status, disability, arrest records, genetic predisposition, carrier status, political and legal activities conducted outside of work.

  • Personal Information

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    If your first name is longer than 15 characters enter the first 15 characters of your first name

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    If your last name is longer than 20 characters enter the first 20 characters of your last name

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    If your address is longer than 20 characters enter the first 20 characters of your address

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    Please enter your proper Zip Code.
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    Please enter your full phone number.
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  • Are you legally eligible to work in the USA?
  • Are you over 18 years of age?
  • Have you ever been convicted of a Felony, or have a pending conviction?
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    Please enter a full phone number.

  • Position Desired

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  • Please enter a dollar amount per hour

    Enter a value in $/hour

  • Status
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    Please enter date in mm/dd/yyyy format.

  • Work Availability, select the days you are available to work
  • Which shifts are you willing to work
  • Are you willing to work overtime
  • Do you have a valid Driver's License
  • Transportation
    How will you get to your Job?

  • Enter a value in miles

    Please enter only a numeric value.
  • We are a Drug and Alcohol Free Workplace. The majority of our positions require Pre-Employment, Random and For Cause Drug and Alcohol Testing. Are you willing to submit to testing?

  • Employment

    List most recent employer first

  • Please enter date in mm/dd/yyyy format.
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    If you don't know the exact date enter the 1st of the correct month

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    If you don't know the exact date enter the 1st of the correct month

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    Please enter a valid Zip Code.
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    Please enter the full phone number.
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    Please enter a dollar amount per hour

    per hour

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  • May we contact your present employer?

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    If you don't know the exact date enter the 1st of the correct month

  • Please enter date in mm/dd/yyyy format.

    If you don't know the exact date enter the 1st of the correct month

  • Please enter a valid Zip Code.
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    Please enter the full phone number.
  • Please enter a dollar amount per hour

    per hour

  • Please enter date in mm/dd/yyyy format.

    If you don't know the exact date enter the 1st of the correct month

  • Please enter date in mm/dd/yyyy format.

    If you don't know the exact date enter the 1st of the correct month

  • Please enter a valid Zip Code.
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    Please enter the full phone number.
  • Please enter a dollar amount per hour

    per hour

  • Please enter date in mm/dd/yyyy format.

    If you don't know the exact date enter the 1st of the correct month

  • Please enter date in mm/dd/yyyy format.

    If you don't know the exact date enter the 1st of the correct month

  • Please enter a valid Zip Code.
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    Please enter the full phone number.
  • Please enter a dollar amount per hour

    per hour

  • Education

  • High School

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  • College

  • References

    Do not include family members or friends, please include co-workers, supervisors, and associates.
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  • Check all skills that you have experience in

  • General
  • Heavy Equipment
  • Building Trades
  • Custodial & Environment
  • Machine & Tools
  • Work Boots
  • Plant & Warehouse
  • Electrical / Electronic
  • Manufacturing Operations
  • Welders
  • Accounting
  • Office - General
  • Legal Office
  • Medical - Dentist Office
  • Professional
  • Word-processing
    •   Add an additional unlisted skill (up to 6)
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  • Work Environment

  • Do you have Steel Toe Work Boots?

  • Are you willing and able to work in the following conditions:

  • Possible Conditions
  • Ventilation Conditions you are willing to work in (all OSHA compliant)
  • Heights or Elevated surfaces you are willing to climb up or down to work on, check all that apply

  • Physical Activities and Requirements, Visual Acuity, and Working Conditions you are willing and able to perform

  • Visual: Including distinguishing between color, Depth perception, and field of vision. To perform an activity such as; preparing and analyzing data and figures, visual inspections (determining accuracy, neatness, and thoroughness), operation of machines, using measurement devices, assembly or fabrication of parts, viewing a computer terminal.
  • Hearing: Perceiving the nature of sounds at normal speaking levels with or without correction, and having the ability to receive detailed information through oral communication, and making fine discriminations in sound.
  • Talking: Expressing or exchanging ideas by means of the spoken word; those activities where detailed or important spoken instructions must be conveyed to other workers accurately, loudly or quickly.
  • Repetitive Motions: Making substantial movements of the wrists, hands and / or fingers.
  • Grasping: Applying pressure to an object with the fingers and palm.
  • Finger Movement: Picking, pinching, typing, working primarily with fingers instead of whole hand.
  • Feeling: Perceiving attributes of objects such as size, shape, temperature or texture by touching with skin, particularly fingertips.
  • Standing: Remaining upright on the feet, particularly for sustained periods of time.
  • Walking: Moving about on foot to accomplish tasks, particularly for long distances or moving from one work site to another.
  • Balancing: Maintaining body equilibrium to prevent falling when walking, standing or crouching on narrow, slippery or erratically moving surfaces.
  • Lifting: Raising objects from lower to higher position or moving objects horizontally from position to position. This factor is important if it occurs to a considerable degree and requires the substantial use of the upper extremities.
  • Lifting Ability, check all that apply
  • Reaching: Extending hand(s) and arm(s) in any direction.
  • Pushing / Pulling: Using upper extremities to press against something with steady force in order to thrust forward, downward or outward, or exert force to draw, drag, haul or tug objects in a sustained motion.
  • Stooping / Bending: Bending body downward and forward by bending spine at waist.
  • Climbing: Ascending or descending ladders, stairs, scaffolding, ramps, poles and the like, using feet and legs and/or hands and arms. Body agility is emphasized.
  • Kneeling: Bending legs at knee to come to a rest on knee or knees.

    • If you are unable to perform any of the required job functions, please identify so reasonable accommodations may be made.