Job Application: Nightshift Waterspider

Title: Nightshift Waterspider

Fields marked with an asterisk (*) must be filled out before submitting.

Personal Details

First Name *
Middle Name
Last Name *

Contact Details

Email Address
Address *
City *
State *
Zip Code *
Telephone *

High School

School Name
City
State
Diploma? Yes
No

College/Technical School

School Name
City
State
Diploma Yes
No
Degree / Certification / Area of Study

Employment Information

Date You Can Start
Do You Prefer
Shift Preference * Day Shift
Night Shift
Any
Facility Preference * Sheldon, IA
Spirit Lake, IA
Either IA Facility
Bowling Green, OH
How did you hear about Rosenboom? *
Please Specify

Please answer all of the following questions.

Are you at least 18 years of age? * Yes
No
Are you authorized to work in the United States? * Yes
No
Have you been convicted of any misdemeanors or felonies in the last 5 years? * Yes
No
If yes, please explain.
Have you used names other than given above? Yes
No
If yes, please explain.

Employment History

May we contact your current or most recent employer? * Yes
No
Current/Most Recent Employer
City
State
Zip Code
Phone
Position Held
From
To
Pay Upon Leaving
Supervisor
Duties
Reason for Leaving

Previous Employer
City
State
Zip Code
Phone
Position Held
From
To
Pay Upon Leaving
Supervisor
Duties
Reason for Leaving
Please explain any gaps in your employment history as referenced above

Job-related Skills

Please list any additional work related skills and/or experiences.

Attach Resume

Attach a resume to your application submission. Acceptable document types
(doc, docx, txt, pdf)

Applicant Certification Agreement

  1. I certify that the information provided by me is to the best of my knowledge complete and true. I understand that any false information, omissions or misrepresentations of facts called for in the application may result in rejection of my application or discharge at any time during my employment.
  2. I authorize Rosenboom and/or its agents, including consumer-reporting bureaus, to verify any of the information I have provided. I authorize all former employers, persons, schools, companies and law enforcement authorities to release any information concerning my background and release all such persons and organizations from all liability brought forth by any investigation resulting from my submission of this electronic application and the data contained herein.
  3. Any employment offer is contingent upon my providing proof of identity and eligibility to work in the United States.
  4. I understand that the use of controlled substances is prohibited during employment. I am willing to submit to drug/alcohol testing to detect the use of illegal drugs prior to and during employment.
  5. I understand that this application or the acceptance of the same does not constitute an employment contract or any kind. I understand and agree that if employed, my employment will be “at will”. That is, either Rosenboom or I may end the employment relationship at any time for any reason or for no reason.
  6. I understand that by typing my name in the signature box below and submitting this application I am verifying my understanding of, and agreement to the above.

Signature

Type Name in Signature Box: *