APPLY

APPLICATION FOR EMPLOYMENT

	Southwest Publishing & Mailing Corporation	9/23/23 10:28 AM
	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.