Employment Application

NEW FRONTIER MATERIALS, INCEMPLOYMENT APPLICATION

Attention: If a question does not apply to you, mark that question not applicable (N/A).
Failure to answer every question may cause your application to be rejected.

Date *

Contact Info

First *

MI *

Last *

Address *

City *

State *

Zip Code *

Phone Number *

Email *

Job Type

Position Applying For…

Date available to begin…

Salary or Hourly Rate Expected…

Additional Information

Have you previously applied for work with us or have you been employed by us?

Yes

If yes, please explain…

Referral Source…

Are you able to perform the essential functions of the job for which you are applying?

Yes

Yes, with reasonable accommodations,

If “Yes, with reasonable accommodations”, please identify potential accommodations to your limitation(s).

Grade School

School Name

City & State

Number of Years Attended

Degree or Grade

Area of Specialty

High School

School Name

City & State

Number of Years Attended

Degree or Grade

Area of Specialty

College or University

School Name

City & State

Number of Years Attended

Degree or Grade

Area of Specialty

Graduate School

School Name

City & State

Number of Years Attended

Degree or Grade

Area of Specialty

Trade, Business, or Other

School Name

City & State

Number of Years Attended

Degree or Grade

Area of Specialty

Special Skills (list)

RECORD OF PREVIOUS EMPLOYMENT

(Detailed explanation may be attached to indicate any special employment experience)

Past Employer 1

Past Employer Name, Address, Phone Number

Department(s) Worked

Supervisor’s Name

Position(s) Held

Employed From-To

Rate of Pay

Reason For Leaving

Add another past employment?

Yes

Past Employer 2

Past Employer Name, Address, Phone Number

Department(s) Worked

Supervisor’s Name

Position(s) Held

Employed From-To

Rate of Pay

Reason For Leaving

Add another past employment?

Yes

Past Employer 3

Past Employer Name, Address, Phone Number

Department(s) Worked

Supervisor’s Name

Position(s) Held

Employed From-To

Rate of Pay

Reason For Leaving

Add another past employment?

Yes

Past Employer 4

Past Employer Name, Address, Phone Number

Department(s) Worked

Supervisor’s Name

Position(s) Held

Employed From-To

Rate of Pay

Reason For Leaving

Add another past employment?

Yes

Past Employer 5

Past Employer Name, Address, Phone Number

Department(s) Worked

Supervisor’s Name

Position(s) Held

Employed From-To

Rate of Pay

Reason For Leaving

For applicant’s additional comments or information not covered by this form, such as: career, interests, plans, objectives, etc.

If employed, I agree to abide by all the rules and policies of the Company and will follow the instructions of my supervisor. I will use and wear all safety appliances furnished by the Company and will work in a safe manner observing all Company safety rules, not exposing myself or other workers to unnecessary dangers.
If employed, I understand that the use, possession or being under the influence of drugs, alcohol or any controlled substances is strictly prohibited on Company premises and during working time.
I understand that employment will be on a at will basis and may be terminated at any time by either party with or without notice.
I authorize this Company to seek information about me from various sources and I agree to hold the Company harmless from any and all claims arising from such requests for information.
I agree that all former employers or any other persons may furnish this Company and subsidiaries with all information regarding their record of my service, character and reason for leaving. I hereby release such former employers and persons from all liability for providing such information.
I understand that any false, incomplete, omitted or misleading information on this application may result in the rejection of this application or, if hired, the termination of my employment.
I understand that any unanswered questions on this application may cause this application to be rejected.
I understand employment is contingent on a negative drug test. If hired, refusal to take a drug test will be grounds for dismissal.