We are an equal opportunity employer dedicated to a policy of nondiscrimination in employment on any basis including race, color, religion, age, gender, national origin, disability, veteran status, marital status, pregnancy, sexual orientation and any other characteristic or status protected by law.


* = required field
*First Name:
* Last Name:
* Home Phone:
   Other Phone:
   Email:
* Present Address:
* City:
* State:
* Zip Code:
* Position Applied For:

All questions must be answered.   


1. Are you legally eligible to work in the U.S.?
Yes    
  No      

2. Have you ever been employed in the past with this company?
Yes    
  No      

3. Do you have any relatives currently employed with this company?
Yes    
  No      

4. Have you ever quit a job without giving notice?
Yes    
  No      

5. Have you ever been fired from a job?
Yes    
  No      

6. Are you currently employed?
Yes    
  No      

7. If your application receives favorable consideration, when would you be available to begin work?
Immediately 2 weeks after accepting offer
  1 week after accepting offer   Longer than 2 weeks

8. Do you have a high school diploma or equivalent?
Yes    
  No      

9. How many years of college have you completed?
None Associate's Degree
  1 to 3 years   Bachelor's Degree

10. Do you hold any certificates for on-going or continuing education?
Yes    
  No      

11. Can you lift up to 20 lbs.?
Yes    
  No      

12.

On occasion, would you be able and willing to work extended hours, including weekends and holidays, in a 24-hour operation?
Yes    
  No      

13. Are you willing to work the day shift (7:00AM-3:30PM)?
Yes    
  No      

14. Are you willing to work the night shift (3:00PM-11:30PM)?
Yes    
  No      

15. Are you willing to work the overnight shift (11:00PM-7:30AM)?
Yes    
  No      

16. Are you willing to work starting at a wage of less than $10 per Hour?
Yes    
  No      

17.

Do you prefer to focus on one assignment for the day as oppossed to frequently changing assignments throughout the day?
Yes    
  No      

18. How much experience do you have working in a manufacturing environment?
None 5 to 10 years
  less than 5 years   More than 10 years


TO ALL APPLICANTS:  PLEASE READ THIS SECTION CAREFULLY AND SIGNIFY YOUR UNDERSTANDING BY CLICKING “SUBMIT”  AT THE END OF THIS STATEMENT.  IF YOU HAVE ANY QUESTIONS REGARDING THIS STATEMENT, PLEASE APPLY IN PERSON.

I understand that PROMOLD PLASTICS follows an “employment at will” policy, in that I or PROMOLD PLASTICS may terminate my employment at any time, or for any reason consistent with applicable state or federal law; this “employment at will” policy cannot be changed verbally or in writing, unless the change is specifically authorized in writing by the President of PROMOLD PLASTICS.  I understand that this application is not a contract of employment.  I understand that federal law prohibits the employment of unauthorized aliens; all persons hired must submit satisfactory proof of employment authorization and identity; failure to submit such proof will result in denial of employment.

I understand this application will be active for a period of 60 days; after that time, if I wish to be considered for employment, I must submit a new application.

I understand that PROMOLD PLASTICS may thoroughly investigate my work and personal history and verify all data given on this application, on related papers and in interviews.  I authorize all individuals, schools, and firms named therein, except my current employer if so noted, to provide any information requested about me, and I release them from all liability for damage in providing this information.

I certify that all statements herein are true, correct, and complete to the best of my knowledge.  I understand that any falsification or willful omission of fact on this application shall be considered sufficient cause for dismissal or refusal of employment.

BY CLICKING "SUBMIT" YOU ACKNOWLEDGE THAT YOU HAVE READ, UNDERSTOOD AND AGREE TO THE ABOVE  STATEMENTS.  (This serves as your electronic signature)

Click Here To Submit Application