Job Application Application for Employment. PERSONAL INFORMATIONPosition You are Applying for:(Required)Digital Press Operator – 2nd & 3rd ShiftsPress Room ApprenticeshipPart-Time Bindery AssociateFull-Time Bindery AssociateWhich Position at Welch are you most interested in? (choose only 1)Upload Your ResumeAccepted file types: doc, pdf, jpg, png, Max. file size: 512 MB.Name(Required)Today's Date(Required) MM slash DD slash YYYY AddressCity:State:Zip Code:Email address(Required)Cell Phone #:(Required)Home Phone #:EMPLOYMENT ELIGIBILLITYAre you eligible to work in the United States?(Required) Yes No Are you at least 18 years old or older?(Required) Yes No If you are under 18 years of age, do you have a work permit?(Required) Yes No Are you either a US citizen or a legal alien who has the right to remain and work in the United States?(Required) Yes No Have you ever been terminated from employment or asked to resign by an employer?(Required) Yes No If yes, please provide company name and details:Have you ever been convicted of a crime?(Required) Yes No If yes, please describe fully the criminal convictions, listing the nature of the offense, age at the time of the offense and rehabilitation since the conviction(s). A conviction record will not necessarily be a bar to employment::(Required)Have you ever applied for a position with Welch Printing Company, Inc.? Yes No Have you previously worked for Welch Printing Company, Inc.? Yes No If yes: when, in what capacity and for what reason for leaving:How did you hear Welch Printing Company, Inc?Walk-inAdvertisementReferralDo you know anyone that works or worked for Welch Printing Company, Inc? Yes No If yes, please provide name of contact:Are you currently employed? Yes No If yes: may we inquire of your present employer? Yes No If yes: please provide name of contact:EMPLOYMENT DESIRED AND HOURS OF ELIGIBILITY FOR WORKWhat position(s) are you applying for?Desired Hourly Rate/Salary:What date would you be available to start?Can you work any shift? Yes No If no, please explain:Can you work overtime, including weekends? Yes No If no, please explain:Are you seeking regular or temporary employment? Regular Temporary Are you seeking full or part-time employment? Full-time Part-time Can you work year round? Yes No If no, please explain:Are you able to perform the essential functions of the job for which you are applying, with or without a reasonable accommodation? Yes No If no, please explain:REFERENCESName two (2) individuals, other than relatives, who have known you for several years.Name #1Relationship:AddressCityStateZipEmailCell PhoneHome PhoneName #2RelationshipAddressCityStateZipEmailCell PhoneHome PhoneMILITARY SERVICEIf you have served in the United States Military, please state whether or not you received any special training or experience which would assist you in performing the job for which you have applied:Enter special trainingEDUCATION HISTORYGrade SchoolName and City/StateDid you graduate? Yes No Last Calendar Year AttendedHigh SchoolName and City/StateDid you graduate? Yes No Last Calendar Year AttendedCollege or UniversityName and City/StateDid you graduate? Yes No Last Calendar Year AttendedDegree ReceivedSubjects Studied/MajorTrade, Technical or Other SchoolDid you graduate? Yes No Last Calendar Year AttendedDegree ReceivedSubjects Studied/MajorSKILLSTrades/Technical:Enter trade/technical qualifications with Licenses if applicablePlease briefly describe your qualifications for the position(s) for which you are applying:Describe qualificationsEMPLOYMENT HISTORYInclude the last 4 employers (include periods of unemployment) starting with your most recent employment and working backwards in time. Incomplete information may disqualify you from further consideration.Employer #1 Name and AddressDates of Employment (Month/Year)SalaryPosition/Nature of WorkReason for LeavingImmediate Supervisor (including contact info)Employer #2 Name and AddressDates of Employment (Month/Year)SalaryPosition/Nature of WorkReason for LeavingImmediate Supervisor (including contact info)Employer #3 Name and AddressDates of Employment (Month/Year)SalaryPosition/Nature of WorkReason for LeavingImmediate Supervisor (including contact info)Employer #4 Name and AddressDates of Employment (Month/Year)SalaryPosition/Nature of WorkReason for LeavingImmediate Supervisor (including contact info)APPLICANT STATEMENT AND SIGNATURESI understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for Welch Printing Company, Inc. to hire me. I understand that my employment may be terminated, at any time, at the option of either Welch Printing Company, Inc. or myself. I understand that no management representative has any authority to enter into any agreement for employment for any specific period of time, or make any agreement contrary to the foregoing. I hereby authorize Welch Printing Company, Inc. to investigate my record with my former employers and references, and release those Companies and informants from all liability whatsoever resulting from such an investigation. The above information is complete and true to the best of my knowledge. I understand, that, if hired, subsequent discovery of any misrepresentation herein or omission of facts herein will be cause for my immediate dismissal. Applicant Check this box as your signature Date MM slash DD slash YYYY EmailThis field is for validation purposes and should be left unchanged.
