Southwest Publishing & Mailing Corporation 10/20/19
07:00 PM
APPLICATION FOR EMPLOYMENT
 
  Position applied for
Contact Last Name First Name Middle Initial Contact Phone Email
 
Address Street City State Zip
Please select YES or NO to indicate which shifts you are able or willing to work:
    Days A: 6AM - 6PM Sunday, Monday, Tuesday, Alt Wednesday
    Days B: 6AM - 6PM Thursday, Friday, Saturday, Alt Wednesday
    Nights A: 6PM - 6AM Sunday, Monday, Tuesday, Alt Saturday
    Nights B: 6PM - 6AM Wednesday, Thursday, Friday, Alt Saturday
 
  Do you have the legal right to work in the United States?
  Have you ever worked at Southwest Publishing and Mailing Corp?
      If so, under what name(s)? When?
  Are you 18 years of age or older?
  Have you ever been convicted of a felony? If yes, when and for what?
  List friends or relatives who referred you Southwest Publishing and Mailing Corp.
      Name Relationship
      Name Relationship
Physical
    Accommodation needed?
Abilities Ability to lift 50 LBS and push/pull 100 LBS?
  Stand for long periods?
  Ability to bend and stoop?
  Ability to reach a minimum of 12 inch span?
  Ability to grip with both hands?
  List any accommodations
   
Employment  
History Have you been terminated for any reason other than attendance?
      If so, please explain.
  Have you ever been terminated for attendance?
      If so, where and when?
  What was your first job and what age?
Previous  
Employer 1 Last or present employer Address (street, city, state, zip)
  Phone Supervisor name
  Reason for Leaving
  Salary starting Final Job title start date End date
  May we contact this employer?
Previous  
Employer 2 Last or present employer Address (street, city, state, zip)
  Phone Supervisor name
  Reason for Leaving
  Salary starting Final Job title start date End date
  May we contact this employer?

Equal Employment Opportunity Policy

It is the policy of Southwest Publishing and Mailing Corp. to provide equal employment opportunity to all applicants and employees without regard to religion, color, race, sex, age or handicap and to make employment decisions consistent with this principle of equal opportunity.

FOR SECURITY, YOU MUST ENTER THE ANIMATED PASSCODE INTO THE BOX BELOW BEFORE YOUR APPLICATION WILL BE ACCEPTED. Please verify that you have answered all of the questions above, then click the SUBMIT APPLICATION button to file this application with our Human Resources department.