Green Bay Packaging Inc.
An Equal Employment Opportunity Employer
APPLICATION FOR EMPLOYMENT
Application for position:
Date Available:
Last Name
First Name
Middle Name
Present Address (Number & Street)
Apt. #/Lot
Home Phone:
City
State
Zip Code
Mobile Phone:
Are you at least 18 years of age?
Yes No
Best time to reach you?
Email Address:
Have you ever applied for employment with any division
of this company? Yes No
When:
What hours are you not available to work?
What days are you not available to work?
EDUCATION AND TRAINING
Circle Highest Grade Completed: Secondary School 7 8 9 10 11 12 College 13 14 15 16
If you have not completed high school, do you have a GED equivalent? Yes
No
Name of School
Location
Major Area of Study
Graduated
Degree
High
School
Yes
No
College
Yes
No
College
Yes
No
Vocational
Yes
No
Other
Yes
No
Please list any position-relevant education or training not covered above (software, systems, machine, equipment, etc., as well as trade or
professional licenses, or cer
tifications).
IF APPLYING FOR A POSITION REQUIRING DRIVING:
Do you have a valid driver's license?
Yes No
Do you own or have use of a vehicle?
Yes No
Rev. September 2015 (#1935762)
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Have you ever been terminated from a job or forced to resign?
If so, please describe what steps you would take at GBP to avoid a similar situatio
n
.
No Yes
WORK EXPERIENCE: 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 worked per month. Indicate any changes in job title under same employer as a separate position.
Employer
Kind of Business
Location (City & State)
Your Title
Reason for Leaving
Name & Phone Number of Supervisor
Your Duties
May we contact this employer as a reference? Yes
No
Total Time Employed Full-Time
Part-Time
From (Month & Year) To (Month & Year)
MONTHLY/HOURLY SALARY:
Beginning: $ Ending: $
Employer
Kind of Business
Location (City & State)
Your Title
Reason for Leaving
Name & Phone Number of Supervisor
Your Duties
May we contact this employer as a reference? Yes No
Total Time Employed Full-Time
Part-Time
From (Month & Year) To (Month & Year)
MONTHLY/HOURLY SALARY:
Beginning: $ Ending: $
Employer
Kind of Business
Location (City & State)
Your Title
Reason for Leaving
Name & Phone Number of Supervisor
Your Duties
May we contact this employer as a reference? Yes No
Total Time Employed Full-Time
Part-Time
From (Month & Year) To (Month & Year)
MONTHLY/HOURLY SALARY:
Beginning: $ Ending: $
Employer
Kind of Business
Location (City & State)
Your Title
Reason for Leaving
Name & Phone Number of Supervisor
Your Duties
May we contact this employer as a reference? Yes No
Total Time Employed Full-Time
Part-Time
From (Month & Year) To (Month & Year)
MONTHLY/HOURLY SALARY:
Beginning: $ Ending: $
Names of friends/relatives who work for Green Bay Packaging Inc
Name:
Name:
Name:
Name:
Rev. September 2015 (#1935762)
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CONDITIONS OF APPLICATION
(Please read carefully before submitting this application)
In applying to work for Green Bay Packaging Inc. (the "Company"), I understand and agree as follows:
TRUE AND COMPLETE INFORMATION. I understand and certify that all the information I furnish in my employment application and related
documents and during my employment interview(s) is or will be true and complete and that I have included any additional information or
explanations that may be appropriate. I understand that any false or incomplete statement by me in this application or in any related document
or interview, or the omission of any requested information will be cause for rejection of my application or for my dismissal if I have already been
employed.
EMPLOYMENT AT WILL. I understand that, except as otherwise provided by law or contract, all employment relationships between the
Company and its employees are terminable at will, meaning that if I am hired, my employment can be terminated at any time, with or without
cause or without notice, at my option or at the option of the Company. I understand that, except as otherwise provided by law or contract, if I
am hired, any terms and conditions of my employment and any personnel policies that may be issued (whether in an employee handbook
or other written document) are not intended to give rise to contract rights and are subject to change by the Company at any time, with or
without notice.
PROOF OF LEGAL ABILITY TO WORK. I understand that as a condition of employment, I will be required to complete and sign a federal
Form I-9 and present original documentation that both identifies me and establishes my legal right to work in the United States.
ACKNOWLEDGMENT OF PREHIRE REQUIREMENTS. I understand that as part of the application and hiring process I may be required to
participate in the following procedures and that my employment may be conditioned upon my satisfactory completion of them:
. I understand that the Company may perform an investigation of my background and of any information
contained on this application or related documents. I authorize the Company to obtain such information, and I authorize all my current and
former employers, references, academic institutions, and all other parties to supply information for purposes of such background
investigation and I release those parties from any claims or liabilities arising from the information they supply.
Background Investigation
Drug Testing
. I understand that I will be required to submit to a pre-employment drug test and I authorize the Company to arrange for
such testing and to receive the results of such testing. I understand that any interference with the testing procedure, refusal to submit to
the test, or positive test result will disqualify me for employment with the Company. I understand that during my employment I may be
required to submit to drug and alcohol testing, including random testing.
Physical Examinations
. I understand that I may be required to submit to a medical examination, fitness for duty examination, and/or a
functional capacity evaluation and/or I may be required to complete a medical questionnaire as part of the final hiring process. I authorize
the Company to receive the results of those procedures consistent with medical privacy regulations.
•
•
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ACKNOWLEDGMENT. I understand that I may ask questions regarding any of the information requested in this application or in any related
document, and I acknowledge that any questions I asked were answered to my satisfaction. I further acknowledge that I have read and
understand the preceding Conditions of Application and I agree to the same.
Applications remain active for 90 days.
Signature of Applicant Today’s Date
Print Name
An Equal Employment Opportunity Employer
Rev. September 2015 (#1935762)
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