Application for Employment

Thank you for your interest in employment opportunities with Eskimo Cold Storage. Please fill out the application below as completely as possible. Eskimo Cold Storage does not discriminate on the basis of race, color, religion, national origin, age, disability, or sex in its employment practices.

Personal Information
Name:
Email Address:
Present Street Address: (No P.O. Boxes)
City:
State:
Zip Code:
Permanent Street Address: (No P.O. Boxes)
City:
State:
Zip Code:
Phone No.:
Secondary Phone No.:
Referred By:
Employment Desired
Position:
Shift:
Date You Can Start:
Salary Desired:
Are you employed now?
If so, may we inquire of your present employer?
Are you legally authorized to work in the U.S.?
Ever applied to this company before?
Education History
High School:
Years Attended:
Did you graduate?
Subjects Studied:
College:
Years Attended:
Did you graduate?
Subjects Studied:
Trade, Business, or Correspondence School:
Years Attended:
Did you graduate?
Subjects Studied:
General Information
Special Training:
Special Skills:
Are you currently in a work release program under the supervision of any local, state, or federal authorities?
Former Employers

List below last four employers, starting with last one first.

Date (Month and Year) From:
Date (Month and Year) To:
Name and Address of Employer:
Salary:
Position:
Reason for Leaving:
Date (Month and Year) From:
Date (Month and Year) To:
Name and Address of Employer:
Salary:
Position:
Reason for Leaving:
Date (Month and Year) From:
Date (Month and Year) To:
Name and Address of Employer:
Salary:
Position:
Reason for Leaving:
Date (Month and Year) From:
Date (Month and Year) To:
Name and Address of Employer:
Salary:
Position:
Reason for Leaving:
References

Give below the names of three persons not related to you, whom you have known at least one year.

Name:
Address:
Business:
Years Known:
Name:
Address:
Business:
Years Known:
Name:
Address:
Business:
Years Known:
Authorization

NOTE: Eskimo Cold Storage will do pre-employment & random drug testing. Also, Eskimo is a Non-Smoking / Tobacco Complex.

By submitting this application, 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 they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.

I also 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 Dy an authorized company representative.

This waiver does not permit the release or use of disability- related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws.