DS Graphics Online Employment Application

Personal Information
Todays Date:
Full Name:
Address:
Phone:
Email:
   
Employment Interest
Work Desired:
Salary Requirements:
Date Available to Start:
Shifts you are available to work:
Can you Work Weekends:
Are You Under 18?:
If Employed, are you legally able
to reside and work in the US?:
Proof of Citizenship or Resident Alien Status Will be Required After Employment.
Employment History
Previous Employer
Employer:
Address:
Start and End Date: (01/01/2000 - 01/01/2000)
Supervisor:
Phone #:
Title and Duties:
Starting Pay: - Ending Pay:
Reason For Leaving:
Next Previous Employer
Employer:
Address:
Start and End Date: (01/01/2000 - 01/01/2000)
Supervisor:
Phone #:
Title and Duties:
Starting Pay: - Ending Pay:
Reason For Leaving:
Next Previous Employer
Employer:
Address:
Start and End Date: (01/01/2000 - 01/01/2000)
Supervisor:
Phone #:
Title and Duties:
Starting Pay: - Ending Pay:
Reason For Leaving:
Education
  Did you Graduate?
High School:
College:
Trad / Tech School or Other:
Additional Information
State any additional information you believe may be helpful in considering you application:
References




Applicants Statement

I acknowledge that the information I have supplied is correct to the best of my knowledge and understand that any deliberate falsification, misrepresentation, or omission of fact ma be grounds for rejection of my application of dismissal from subsequent employment. I understand that consideration for employment is contingent upon results of a reference and background check. I authorize DS Graphics to investigate all statements made on my application and to and to discuss the results of its investigation with those responsible for hiring. I further authorize the Company to contact my former employer(s) and other contacted persons to respond to questions pertaining to me. Further, I release from liability such former employer(s) or other persons providing information to the company. I understand that if I make a written request to the Company, in accordance with the Fair Credit and Reporting Act, I will be provided a complete disclosure of any additional information obtained through the investigation. I understand that if hired my employment is at-will and may be terminated with or without cause, with or without notice, at any time, by the company or me. I understand that while Human Resource policies, programs, procedures, and benefits may change from time to time, such at-will status is not subject to change absent a written agreement signed by DS Graphics President. I agree to assume full responsibility for the loss or destruction of all property which I might bring on Company premises, and for Company property assigned to me. I also agree to work any shift, schedule of hours, or overtime to which I may be assigned. Full-time employees are not allowed medical coverage until 30 days after hire.

Electronic Signature:

By typing your name above, you identify that you have read the information
above and filled all information in as accurately as possible.


Copyright © 2008 | DS Graphics, Inc. | 120 Stedman Street | Lowell, MA 01851