Employment Application

Available Opportunities

Step 1 of 5

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CPC is an equal opportunity employer and does not discriminate against otherwise qualified applicants in any employment-related decisions on the basis of race, color, creed, religion, sex, national origin, age, marital status, veteran status, disability, or the inclusion in any other legally protected group.

Full Name(Required)

First Middle Last

Application for Position of:(Required)

Date Available(Required)

MM slash DD slash YYYY

Present Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Is your mailing address the same?(Required)

Yes

Mailing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Home Phone(Required)

Cell Phone(Required)

What hours are you able to work? (AM or PM)(Required)

What days are you available to work?(Required)

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Please indicate which types of employment interest you (check more than one box if you wish):(Required)

Regular (Full-Time)

Regular (Part-Time)

Temporary (Full-Time)

Temporary (Part-Time)

If temporary, when can you work till?

Do you have access to a car (for some positions, a vehicle is required)?(Required)

Yes

Do you have a valid driver's license?(Required)

Yes

Are you over the age of 18?(Required)

Yes

Are you legally eligible for employment in the United States (If offered employment, you will be required to provide documentation to verify eligibility)(Required)

Yes

Education and Training

Please select the highest grade or year completed in school.(Required)

Do you have a high school diploma or a GED equivalency?(Required)

Yes

Name and location of high school:

Do you have any training beyond High School?(Required)

Yes

(College or University, Nursing, Business College, or other schools you have attended.) Under credits earned, indicate Q for Quarter Hours and S for Semester Hours.

Select the number of years in College or University(Required)

College/University Information(Required)

Name & Location

Dates Attended

Credits Earned

Major Field

GPA/Base

Degree Conferred and Year

Other Education/Training

Describe any education or training you have had which is not covered above, such as vocational school, correspondence courses, service schools, in-service training, or volunteer work which you feel is relevant to the job or jobs for which you are applying. Also include relevant licenses or certifications. (Be specific)

For some positions, it may be required that employees posses certain physical capabilities, check the appropriate boxes below, which you feel reflect the physical activities in which you can routinely engage without harm to yourself or fellow employees. Please be assured that a negative answer will not disqualify you from consideration.

Lifting

25 lbs. or less

50 lbs.

75 lbs.

100 lbs. or more

Do you have difficulties:

Bending or Stooping?

Standing for long periods of time?

Climbing?

Working in temperature extremes?

List any physical limitations which you feel may relate to the work for which you are applying.

Have you ever been convicted of any violations other than minor traffic violations?(Required)

Yes

For what have you been convicted, when, and where?(Required)

Work Experience

Provide a complete description. This information will be used to determine if your application is accepted. Be specific. Start with your most recent job. BE CERTAIN TO INCLUDE SERVICE IN THE ARMED FORCES. For part-time work, show the average number of hours per month. Indicate any changes in job title under same employer as a separate position.

Employer

Kind of Business

Your Title

Reason for Leaving

Your Duties:

Location

Street Address City State / Province / Region ZIP / Postal Code

Name of Supervisor

Total Time Employed

Full - Time or Part Time?

Full-Time

Part-Time

From (Month & Year)

To (Month & Year)

Check one:

Monthly Salary

Hourly Salary

Beginning Salary:

Ending Salary:

Add another Employer?

Yes

Employer

Kind of Business

Your Title

Reason for Leaving

Your Duties:

Location

Street Address City State / Province / Region ZIP / Postal Code

Name of Supervisor

Total Time Employed

Full - Time or Part Time?

Full-Time

Part-Time

From (Month & Year)

To (Month & Year)

Check one:

Monthly Salary

Hourly Salary

Beginning Salary:

Ending Salary:

Add another Employer?

Yes

Employer

Kind of Business

Your Title

Reason for Leaving

Your Duties:

Location

Street Address City State / Province / Region ZIP / Postal Code

Name of Supervisor

Total Time Employed

Full - Time or Part Time?

Full-Time

Part-Time

From (Month & Year)

To (Month & Year)

Check one:

Monthly Salary

Hourly Salary

Beginning Salary:

Ending Salary:

May we communicate with your present employer?

Yes

References

Please provide us with three references of people who are familiar with your work.(Required)

Name

Address

Phone Number

Please list any organizations to which you belong or have belonged and any honors or awards you have received that you regard as relevant to the job or jobs for which you are applying.

Additional Information

Application Certification and Agreement

I hereby certify that all answers given by me are true, accurate and complete. I understand that the falsification, misrepresentation, or omission of fact on this application (or any other accompanying or required documents) will be cause for denial of employment or immediate termination of employment, regardless of when or how discovered.

I authorized CPC Printing and Promotions to investigate all statements and information contained in this application. I release from all liability anyone supplying such information and I also release CPC from all liability that might result from making an investigation.

I understand that should an employment offer be extended to me and accepted that I will fully adhere to the policies, rules and regulations of employment of CPC. I further understand that, if employed, my employment may be terminated with or without cause, and with or without notice, at any time, at the option of either the company or me. I understand that no representation, whether oral or written by any representative or agent of the Company can constitute a contract of employment and neither the policies, rules, regulations of employment or anything said during the interview process shall be deemed to constitute the terms of an implied employment contract.

I understand the CPC requires the successful completion of a urinalysis for drug testing and/or blood alcohol tests as a condition of employment. By submitting this application for employment, I hereby consent to either or both of these tests.

Agreement(Required)

I acknowledge that I have read and understand the above statements and hereby grand permission to confirm the information supplied by me on this application.

Signature Agreement(Required)

By typing my name below, I understand and agree that this form of electronic signature has the same legal force and affect as a manual signature.

Signature(Required)

Please type your full name.

Available Opportunities

Education and Training

Work Experience

References

Application Certification and Agreement

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