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.