Employment – Tri-State Plastics

Call Us Today! (859) 655-8200|mark@tristateplastics.com

4306 Boron Avenue, Latonia, Kentucky 41015
Phone: (859) 655-8200 - Fax: (859) 655-8211

First Name *
Last Name *
Present Address *
City *
State *
ZipCode *
Phone Number *
Email
Referred by

Employment Desired

Position
Date You Can Start
Salary Desired
Are You Employed?
YesNo
If so, may we inquire of your present employer?
YesNo
Ever applied to this company before?
YesNo
Where?
When?

Education

Grammar School
Years Attended?
Date Graduated

High School

High School Attended
Years Attended
Date Graduated
Subjects Studied

College Attended

College
Years Attended
Year Graduated
Subjects Studied

Trade, Business or Correspondence School

Trade, Business or Correspondence School Attended
Years Attended
Year Graduated
Subjects Studied

Military or Special Study/research

U.S. or Naval Service?
Rank?
Subjects of special study/research work or special training/skills

Former Employers

(List below last four employers, starting with last one first)
Name and Address of Employer
From
To
Salary
Position
Reason for leaving

Name and Address of Employer
From
To
Salary
Position
Reason for Leaving

Name and Address of Employer
From
To
Salary
Position
Reason for Leaving

Name and Address of Employer
From
To
Salary
Position
Reason for leaving

References Please provide us with the names of three person NOT related to you, whom you have known at least one year.
Name
Address
Years Known

Name
Address
Years Known

Name
Address
Years Known

Date of this application
Instructions I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information that may result from utilization of such information. I understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.

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