Employment Application

Personal Information

Name:

Address:

City:

State:

Zip:

Phone:

Email:

Are you legally eligible to work in the US?

Are you a veteran?

If selected for employment are you willing to submit to a background check?

References

Please list at least 3 business/professional references. For each reference, include the reference's name, company, company title and phone number.

Position

Position you are applying for:

Available start date:

Desired pay:

Education

School name:

Years attended:

Degree received:

Major:
School name:

Years attended:

Degree received:

Major:
School name:

Years attended:

Degree received:

Major:
School name:

Years attended:

Degree received:

Major:

Employment History

Employer name:

Job title:

Dates employed:

Work phone:

Starting pay rate:

Ending pay rate:

Address:

Employer name:

Job title:

Dates employed:

Work phone:

Starting pay rate:

Ending pay rate:

Address:

Employer name:

Job title:

Dates employed:

Work phone:

Starting pay rate:

Ending pay rate:

Address:

Employer name:

Job title:

Dates employed:

Work phone:

Starting pay rate:

Ending pay rate:

Address:

EnTech Plastics : Solutions through Engineering and Technology

EnTech Plastics • 1 Plastics Road • Corry, PA, 16407

ISO 9001:2015 Certified

Phone: (814) 664-7205 • Fax: (814) 664-5755