Careers at Madras Packaging

Thank you for your interest in joining the team at Madras Packaging, LLC. Please fill out the information below and then submit your application to our human resources department. If you prefer, you can also fill out the Spanish version of our job application.

For what position are you applying?	Blow Mold Technician/Operator Bagger Forklift Operator Other (please specify)

For which shifts are you available?	1st (7:00 am - 3:30 pm) 2nd (3:00 pm - 11:30 pm) 3rd (11:00 pm - 7:30 am)

PERSONAL INFORMATION

Name
Email
Address Line 1
Address Line 2
City
State
ZIP Code
Phone Number
Alternate Phone Number

Have you ever worked for Madras Packaging before? Yes No
If so, when?

Do you have reliable transportation? Yes No

Were you referred by a Madras Employee? Yes No
If so, whom?

Do you have any relatives working at Madras? Yes No
If so, whom?

Are you available to work, if required?	Overtime Holidays Weekends

When could you begin work?

Are you at least 18 years old? Yes No

LEGAL INFORMATION

Have you ever been convicted of a felony? Yes No
If yes, date of conviction:
Conviction of a crime will not necessarily disqualify you from consideration for employment.

SKILLS AND EXPERIENCE

Please list any special qualifications, training, education, skills, or experience that you feel would be valuable to the Company.

Please list any equipment or machines you have experience operating which may be useful on the job for which you are applying.

EDUCATION

Did you graduate from High School or earn a GED? Yes No
If yes, what year did you receive your diploma?

Name and location of High School

Name and location of College, Vocational School, or Training Courses
Field of Study
Degree or Certificate Earned
Date Earned

Name and location of College, Vocational School, or Training Courses
Field of Study
Degree or Certificate Earned
Date Earned

WORK EXPERIENCE

Name of Present or Last Employer
Type of Business
Street Address
City
State
ZIP Code
Phone Number
Job Title
Dates of Employment
Job Duties
Explain reasons/circumstances for changing or wanting to change jobs
May we contact this employer? Yes No
If no, please explain

Name of Next Employer
Type of Business
Street Address
City
State
ZIP Code
Phone Number
Job Title
Dates of Employment
Job Duties
Explain reasons/circumstances for changing or wanting to change jobs
May we contact this employer? Yes No
If no, please explain

AUTHORIZATION

I certify that I have read and understand all parts of the Madras Packaging, LLC Employment Application and certify that I have truthfully and completely answered all questions. I understand that falsification of any of the information given herein or on any other employment form is grounds for immediate termination, regardless of when such falsifications may be discovered. I authorize Madras Packaging, LLC and its representatives to investigate my education, employment experience, criminal conviction records, and all other aspects of my background relevant to my proposed employment, including all statements made by me in my application for employment. Further, I understand that employment will be contingent upon successfully passing a pre-employment drug-screening test (except where prohibited). I understand my employment with Madras Packaging, LLC is for no definite length of time. I understand my employment may be terminated at any time with or without cause, at the option of either Madras Packaging, LLC or myself. I understand that no employee or representative of Madras Packaging, LLC has any authority to make any agreement which is contrary to the foregoing. If accepted for employment, I agree to comply with all Company policies and procedures and with all rules and regulations made known at the time of employment or any other time thereafter, and to perform all duties assigned to me to the best of my ability. Madras Packaging, LLC is an equal opportunity employer. All applications for employment will be considered without regard to race, color, religion, sex, national origin, disability, age (over the age of 40), or veteran status. This application will remain active for 90 days. After that time, it must be renewed by the applicant if he/she wishes to be reconsidered for employment. If you are hired, this Application for Employment becomes part of your official employment record.

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