Application
For Employment

 
WE ARE AN EQUAL OPPORTUNITY EMPLOYER
We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, or any other legally protected status.  The Scale People is always looking for good people, if a position you are applying for is not available, The Scale People will keep the information on file.  
 
All fields preceded by > are required to be filled in before submitting an application
Last Name
> 		First Name
> 		Middle Initial
> 		 
 
 
Current Address Permanent Address (if different than current)
Street > Street
Apartment > Apartment
City > City
State > State
Zip > Zip
Telephone Number(s) > Telephone Number(s)
 
May we respond to you via e-mail? Yes No     If yes, e-mail address:
 
 
General Information

Position(s) Applying For >     

  View Selected Positions

Other unlisted position:

Date of Application
 12/1/2008



Expected Wage (Please enter a numeric value.)
Applying to Location(s) >
How Did You Learn About Us?
 Print Advertisement Radio Advertisement Employment Agency Friend Relative Employment Office
Other:
List Names of Company personnel whom you know and/or were referred by: (Please limit yourself to 150 characters.)

List Names/Relationships of Relatives Employed by Berry : (Please limit yourself to 150 characters.)
 
 
Position Desired: > Full Time Part Time Temporary    
Part Time Hours Available

HH:  MM: SS:

> Yes No
Are you at least 18 years old? > Yes No
Have you ever filed an application with us before?

If Yes, give date: (Format MM-DD-YY) 

> Yes No

Have you ever been employed with us before?

If Yes, give date: (Format MM-DD-YY)   
If Yes and under a different Name, give name:

> Yes No
Is there any reason that you cannot attend work regularly?

If Yes, explain: 		> Yes No
Many of our job openings require regular lifting, bending, stooping, moving, and standing. Please describe any accommodations we need to make for you to be able to complete the essential functions of the job for which you are applying. (Please limit yourself to 150 characters.)
Are you currently employed? > Yes No
May we contact your present employer? > Yes No
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status? *Proof of citizenship or immigration status will be required upon employment. > Yes No
On what date will you be available for work? (Format MM-DD-YY)    >
Are you currently on "lay-off" status and subject to recall? > Yes No
Have you ever been convicted of a felony? > Yes No
If Yes, please explain: (Please limit yourself to 150 characters.)
 
 
Select those skills listed below that you have experience in.
Electrical Fork Lift Hydraulics Management/Supervision Problem Solving Production
Describe any specialized training or skills as they relate to the position applied for.
(Please limit yourself to 150 characters.)
 
 
Education Name and Address of School Course of Study Diploma Degree Graduated
High School or GED N:
A:

Yes
No
Vocational/Trade School N:
A:

Yes
No
College/University N:
A:

Yes
No
 
Describe any specialized training, apprenticeship, skills, and extra-curricular activities.
(Please limit yourself to 150 characters.)
 
Employment Experience
Start with your present or most recent job. Include any job-related military service assignments and volunteer activities. Explain in detail any gaps in employment.
1.
Employer
 		Dates Employed
(Format MM-DD-YY)
Address
 		From

To
If currently employed enter today's date.
Supervisor's Name
Telephone Number(s)
Last Position Held
 		Hourly Rate/Salary
Reason For Leaving
 		Starting

Final

Work Performed (Please limit yourself to 150 characters.)
2.
Employer
 		Dates Employed
(Format MM-DD-YY)
Address
 		From

To

Supervisor's Name
Telephone Number(s)
Last Position Held
 		Hourly Rate/Salary
Reason For Leaving
 		Starting

Final

Work Performed (Please limit yourself to 150 characters.)
3.
Employer
 		Dates Employed
(Format MM-DD-YY)
Address
 		From

 

To

Supervisor's Name
Telephone Number(s)
Last Position Held
 		Hourly Rate/Salary
Reason For Leaving
 		Starting

 

Final

 

Work Performed (Please limit yourself to 150 characters.)
4.
Employer
 		Dates
(Format MM-DD-YY)
Address
 		From

 

To

 

Supervisor's Name
Telephone Number(s)
Last Position Held
 Hourly Rate/Salary
Reason For Leaving
 		Starting

 

Final

 

Work Performed (Please limit yourself to 150 characters.)
If you need additional space, please continue here. (Please limit yourself to 350 characters.)
 
 
References (Include at least one work reference - Do not include relatives.)
1. Name
Address

Company Name
 		Phone Number


Relationship
2. Name
Address

Company Name
 		Phone Number


Relationship
3. Name
Address

Company Name
 		Phone Number 


Relationship
 
 

By placing a check mark in the boxes below, you are agreeing to the following statements.
> Yes

I understand that as a condition of employment some Scale People locations require a physical examination and a drug/alcohol screen test. By marking the box to the left, I freely give my consent to such examinations and further understand that if I test positive for drugs and/or alcohol, I will not be considered for employment.

 
> Yes

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.

 
> Yes

I authorize the investigation of all statements contained herein and for my references and prior employers to release any and all pertinent information about me including that which is contained within my personnel file.

 
> Yes

I understand and agree that, if hired, my employment is for no definite period of time, is not pursuant to any contract, either verbal or written, and that I will be an at-will employee.

 
These questions are completely voluntary and are in no way attached to my individual application. They will be maintained in a file, separate from my application, without reference to my name.
 
Gender:  > Male Female

 

 
  If you would like to send us addition information regarding your previous employment, please email your resume to jobs@scalepeople.com