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National Plastek, Inc.

Application for Employment

Thank you for your interest in joining the National Plastek Team!
Please fill out the entire application accurately and honestly. Any mis-information will disqualify you as a job candidate.
Please enter social security with numbers only, no spaces, dashes, or other characters. Please enter phone numbers with starting with 1 and then your area code. Do not enter any dashes, parenthesis, or characters other than the numbers.

Personal Info

Firstname:Lastname:SSN:
Address:City:Zip:
Home Phone:
Cell Phone:

Have you ever been fired, dismissed, asked to resign, resigned by mutual agreement, or otherwise been terminated from any job?

Yes No

Have you ever been convicted of any crime other than a routine traffic offense?
(Inlcudes a "No Contest" or "Guilty" plea)

Yes No

Are you currently under indictment or charged with a felony?

Yes No

Are you legally authorized to work in the United States?

Yes No

Employment Desired

Kind of work desired?

Full Time Part Time

Please Check the Days of the week you are available:

Monday Tuesday Wednesday Thursday Friday Saturday Sunday

What shifts are you available to work?

Any Shift 1st Shift 2nd Shift Third Shift

Available to Start?

Are you employed now?

Yes No

Have you ever applied to National Plastek before?

Yes No

Were you referred to work at National Plastek?

Yes No

(We accept PDF format only)