Schott Distributing Job Application Schott Distributing Job Application First Name * Middle Name * Last Name * Address * Address Address Address City City State/Province Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State/Province Zip/Postal Zip/Postal Email * Phone * Are you 18 years of age or older? * Yes No Are you either a U.S. citizen or an alien authorized to work in the U.S.? * Yes No Are you a veteran of the U.S. Military Service? * Yes No Do you have any relatives or friends who work for the Schott Dist. Co. Inc.? If yes, please list. * Yes No List names of relatives or friends who work for Schott Dist. Co. Inc: Position: Choose position... Delivery Driver General Application HR Coordinator/Admin Assistant 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 No Education High School: * Graduated? * Yes No Technical College: Graduated? Yes No College/University: Graduated? Yes No Post-Graduate Education: Graduated? Yes No 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 No May we contact your present employer? * Yes No If no, please explain: Employer 1: * Address: * Start & end date: * Position held: * Reason for leaving: * Supervisor's name & title: * May we contact? * Yes No Description of duties: * Starting compensation: Final compensation: Add a second employer? * Yes No Employer 2: * Address: * Start & end date: * Position held: * Reason for leaving: * Supervisor's name & title: * May we contact? * Yes No Description of duties: * Starting compensation: Final compensation: Add a third employer? * Yes No Employer 3: * Address: * Start & end date: * Position held: * Reason for leaving: * Supervisor's name & title: * May we contact? * Yes No 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 No Reference 3: * Phone: * Email: Position or title: * Years known: * Position held: * Attach resume Drag a file here or click to upload Choose File Maximum upload size: 33.55MB Attach cover letter Drop a file here or click to upload Choose File Maximum upload size: 33.55MB 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 * 12:00 AM12:30 AM1:00 AM1:30 AM2:00 AM2:30 AM3:00 AM3:30 AM4:00 AM4:30 AM5:00 AM5:30 AM6:00 AM6:30 AM7:00 AM7:30 AM8:00 AM8:30 AM9:00 AM9:30 AM10:00 AM10:30 AM11:00 AM11:30 AM12:00 PM12:30 PM1:00 PM1:30 PM2:00 PM2:30 PM3:00 PM3:30 PM4:00 PM4:30 PM5:00 PM5:30 PM6:00 PM6:30 PM7:00 PM7:30 PM8:00 PM8:30 PM9:00 PM9:30 PM10:00 PM10:30 PM11:00 PM11:30 PM Applicant Signature: * reCAPTCHA Submit If you are human, leave this field blank.