Schott Distributing Job Application

First Name *

Middle Name *

Last Name *

Address *

Address

City

State/Province

Zip/Postal

Email *

Phone *

Are you 18 years of age or older? *

Yes

Are you either a U.S. citizen or an alien authorized to work in the U.S.? *

Yes

Are you a veteran of the U.S. Military Service? *

Yes

Do you have any relatives or friends who work for the Schott Dist. Co. Inc.? If yes, please list. *

Yes

Position:

Do you prefer: *

Full-time

Part-time

Temporary

Hours you are available to work: *

Days of week you are available to work: *

Are you able to work:

Weekends

Evenings

Overtime

Have you previously worked for Schott Dist. Co. Inc.? *

Yes

Education

High School: *

Graduated? *

Yes

Technical College:

Graduated?

Yes

College/University:

Graduated?

Yes

Post-Graduate Education:

Graduated?

Yes

Other education, training, memberships, certifications or special skills:

List professional, trade, business or civic activities and offices held (you may exclude memberships which would revel sex, race, religion, national origin, age, ancestry, handicapped, or other status):

Employment history

Are you currently employed? *

Yes

If no, please explain:

Employer 1: *

Address: *

Start & end date: *

Position held: *

Reason for leaving: *

Supervisor's name & title: *

May we contact? *

Yes

Description of duties: *

Starting compensation:

Final compensation:

Add a second employer? *

Yes

Employer 2: *

Address: *

Start & end date: *

Position held: *

Reason for leaving: *

Supervisor's name & title: *

May we contact? *

Yes

Description of duties: *

Starting compensation:

Final compensation:

Add a third employer? *

Yes

Employer 3: *

Address: *

Start & end date: *

Position held: *

Reason for leaving: *

Supervisor's name & title: *

May we contact? *

Yes

Description of duties: *

Starting compensation:

Final compensation:

References

Reference 1: *

Phone: *

Email:

Position or title: *

Years known: *

Position held: *

Reference 2: *

Phone: *

Email:

Position or title: *

Years known: *

Position held: *

Add a third reference? *

Yes

Reference 3: *

Phone: *

Email:

Position or title: *

Years known: *

Position held: *

Attach resume

Maximum file size: 83.89MB

Attach cover letter

Maximum file size: 83.89MB

Authorization and Acknowledgements:
I affirm that the information I have provided in this application is true to the best of my knowledge, information and belief, and I have not knowingly withheld any information requested. I understand that withholding or misstating any information requested in this application is grounds for rejection of my application, and that providing false or misleading information in this application is grounds for discharge. I authorize the Schott Dist. Co., Inc. to verify my references, record of employment, education record, and any other information I have provided. Unless otherwise noted, I authorize the references I have listed to disclose any information related to my work record and my professional experiences with them, without giving me prior notice of such disclosure. In addition, I release the company, my former employers and all other persons and entities, from any and all claims, demands or liabilities arising out of or in any way related to such inquiry or disclosure.

Date *

Time *

Applicant Signature: *

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