SumiRiko Tennessee, Inc
Pre-Employment Application

                                                           Applicant Information

Name

Date

Address

Telephone

 

 

Position(s) applied for?

Are you available to work all three shifts?

YES

NO

If no, please explain

 

Do you have the legal right to work in the United States?

YES

NO

 

 

 

Do you have a High School Diploma or G.E.D?

YES

NO

 

 

 

What school did you graduate from?

Any additional training/education/experience?

Can you lift 40 pounds continuously?

YES

NO

 

 

 

Have you ever been convicted of a felony? (Conviction will not necessarily disqualify an applicant from employment)

YES

NO

If yes, please explain

 

Have you ever worked for SRK/DTR full time or thru Staffing Agency?

YES

NO

If yes, please explain

 

Do you know or are you related to anyone presently working for SumiRiko Tennessee, Inc? If so, list their names.

 

EMPLOYMENT HISTORY   (Most Recent Employer First)

Company Name

Address

Position Held

Pay Rate

From

To

Reason for Leaving

       

Company Name

Address

Position Held

Pay Rate

From

To

Reason for Leaving

       

Company Name

Address

Position Held

Pay Rate

From

To

Reason for Leaving

       

Company Name

Address

Position Held

Pay Rate

From

To

Reason for Leaving

       

Disclaimer

I certify that the answers given are true and complete to the best of my knowledge.

 

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. This application for employment shall be considered active for a period of time not to exceed 60 days. Any applicant wishing to be considered for employment beyond this period of time should inquire as to whether or not applications are being accepted at that time.

 

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an “at will” nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this “at will” employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.

 

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.

 

I have read and accept these terms

 

SumiRiko Tennessee, Inc is an Equal Opportunity Employer
We encourage a drug free workplace. Therefore all applicants will
be subject to a pre-employment drug test.
If you care to state any additional information you believe my be helpful
to us in considering your application,
attach another sheet or write the information below.