Online Employment Application

Required fields are red.

Applicant Data
First Name:
Last Name:
Email Address:
Social Security #:
Street Address:
City:
State:
Zipcode:
Phone #:
Alt. Phone #:
Eligibility
Are you legally eligible for employment in the US?:	yes no
Are you 18 or Older?:	yes no
Have you ever been convicted or plead guilty to a felony in the last 7 years?:	yes no
If yes, please explain fully. Conviction of a crime is not an automatic bar to employment - all circumstances will be considered:
Do you have an employment/confidentiality agreement with your present or former employer? Answering yes will not bar you from employment?:	yes no
If yes, please explain:
Position of Interest
Who referred you?:
Position(s) you are interested in:
Date you can start:
Hourly wage desired:
Name(s) of any relatives employed by this company:
Current Employment
Are you currently employed?:	yes no
If so, when did you start?:
Where do you currently work?:
May we contact your present employer?:	yes no
Have you ever worked or applied at Drayton Enterprises before?:	yes no
If so, when?:
Why did you quit?:
Form of tranportation:	car bus other
If other, please specify:
Shift Preference
Which do you prefer?:	full time part time temporary
How many hours are you willing to put in a week?:
Will you work overtime if asked?:	yes no
Will you work weekends?:	yes no
Which shift do you prefer? (rank 1-3):	1st Shift 2nd Shift 3rd Shift
Are you able to lift up to 30 pounds? (answering no will not bar you from employment):	yes no
Are you able to work in a refridgerated environment (55 degrees fahrenheit)? (answering no will not bar you from employment):	yes no
Education
High School Name & Address:
High School Course of Study:
High School # of Years Completed:
High School - Did you graduate?:
College Name & Address:
College Course of Study:
College # of Years Completed:
College - Did you graduate?:
Other Name & Address:
Other Course of Study:
Other # of Years Completed:
Other - Did you graduate?:
US Military or Naval Service:
Rank:
Most Recent Previous Employer
Company Name & Address:
Telephone #:
Job Title & Work Description:
Employed From (month & year):
Employed To (month & year):
Reason(s) for Leaving:
Last Rate of Pay:
Name of Supervisor(s):
2nd Most Recent Previous Employer
Company Name & Address:
Telephone #:
Job Title & Work Description:
Employed From (month & year):
Employed To (month & year):
Reason(s) for Leaving:
Last Rate of Pay:
Name of Supervisor(s):
3rd Most Recent Previous Employer
Company Name & Address:
Telephone #:
Job Title & Work Description:
Employed From (month & year):
Employed To (month & year):
Reason(s) for Leaving:
Last Rate of Pay:
Name of Supervisor(s):
May we contact the employers listed above?:	yes no
Do Not Contact:
Reason:
Reference #1
Name:
Address:
Phone:
Business:
Years Known:
Reference #2
Name:
Address:
Phone:
Business:
Years Known:
Reference #3
Name:
Address:
Phone:
Business:
Years Known:
Authorization

By submitting this form:

I authorize the companies, schools, or persons named to give any information requested regarding my employment, character, and qualifications. I hereby release all persons, past and present employers, and educational institutions from any liability to me if they supply information to this employer as part of its investigation.

I certify that the answers given by me to the foregoing questions and statement are true and correct without omissions of information. I understand that any misleading or incorrect statements may render this application void, and if employed, may be cause for termination. I agree that the company shall not be held liable in any respect if my employment is terminated because of false statements, answers, or omissions made by me in this application.

I understand that no personnel recruiter, interviewer, or other representative of employer has any authority to enter into any agreement for employment for any specified period of time. No promises concerning the nature or length of my employment have been made to me. If I am hired, I understand my employment can be terminated with or without cause, and with or without notice at the option of myself or employer.

I also authorize Drayton Enterprises' Personnel to conduct the necessary employment background checks on my behalf as required for employment. I understand that information received from this check may be used as a basis for employment consideration.

Drayton Enterprises, L.L.C. is an Equal Opportunity Employer