Northway Industries Inc


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Northway Industries, Inc.

Contract Manufacturing

Northway Industries Application

Please send resumes to careers@northwayind.com.

Name:

Address:

Phone: (format: 000-000-0000)

Email:

Position Applied for:

Full Time Part Time Summer Hire Co-op

Preferred Shift:

Date Available:

How did you hear about an opportunity with Northway Industries Inc.?

School Website
Billboard Job Fair

Are you over 18 years old?
Yes No

Are you legally eligible for employment in the United States?
Yes No

Do you currently have a valid driver's license?
Yes No

Have you ever been employed by Northway Industries?
Yes No
If yes please provide dates from to and position

Employment List last employer first, including any U.S. Military Service.

Employer:

Address:

May we contact this employer? Yes No

Phone: Position:

Dates of Employment From To

Hourly rate/salary: Supervisor: Department:

Duties: Number of hours/week: FT PT

Reason for Leaving:

Educational Background
Please list your highest level of education received, starting with your most recent school attended. (Technical, Undergraduate, or Graduate schools)

School (include city and state):

Years Completed: GPA: Major:

GED Degree Cert Other

Computer Skills:

Word Processing
Spreadsheet
Email
Internet
Presentation
Other

Answering "yes" to the following question does not constitute an automatic bar to employment. Factors such as date of offense, seriousness and nature of violation, rehabilitation and position applying for will be taken into consideration.

Have you ever pleaded "guilty" or "no contest" to or have been convicted of a crime?
Yes No
If yes, please provide date(s) and details:

References
List names and telephone numbers of three business/work references who are not related to you and are not previous supervisors. If not applicable, list three school or personal references who are not related to you.

Name:
Title:
Relation:
Telephone:
Email:
Number of Years Known:

Name:
Title:
Relation:
Telephone:
Email:
Number of Years Known:

Name:
Title:
Relation:
Telephone:
Email:
Number of Years Known:

Completeness and Accuracy of Information.
I represent that all of the information given by me in support of this application for employment is true and complete. I understand that any false, omitted or misleading information submitted during the application process will disqualify me from consideration for hire. If I have already been hired before the falsification or omission is discovered, my employment will be terminated. Information not specifically requested on the application will render the employment application unacceptable.

No Written, Oral, or Implied Contracts.
I understand that all employment with the company is “at will”. This means that just as an employee has the right to terminate the employment relationship at any time, with or without reason, the company retains a similar right. I understand that any written company documents or any oral statements, whether made during the application process or, if I am hired, during the course of employment, do not alter this general policy and should not be relied upon by me as altering this general policy.

Signature