Application for Employment

ISO 9001:2008 CERTIFIED
160 Charles Street P.O. Box 76 Oconto, Wisconsin 54153
Phone: (920) 834-2777
Fax: (920) 834-3041
E-mail: lpi@letourneauplastics.net
Website: www.letourneauplastics.net

Personal Information


Employment Desired

DaysNightsPart-timeFull-time
YesNo

Education

Name / Location Years Attended Area(s) of Study Graduated?
High School YesNo

Trade/
Tech School
YesNo

University/
College/
Grad School
YesNo

Other Information


FOUR MOST RECENT EMPLOYERS (Beginning with most recent)

Month/Year to Month/Year Name and City/State of Employer Ending Salary/Wage Position Reason for Leaving
To:

To:

To:

To:

References: Provide three references

Name Phone Employer & Position Relationship (non-relative) Years Acquainted (minimum 1 year)
1
2
3

I authorize investigation into all statements contained in this application. I understand that the falsification, misrepresentation, or omission of fact on this application, or on any other accompanying or required documents, may be cause for denial of employment or immediate termination of employment, regardless of when or how it was discovered. I understand and agree that my employment stands for no definite period and may, at the discretion of the employer, be terminated at any time, without advance notice.