Application for Employment

Incomplete applications will be discarded upon receipt. Applications are kept on file with Human Resources for 12 months. Make application follow-up requests IN WRITING ONLY to: Human Resource Manager, P.O. Box 758, Tiffin, OH 44883.

Shelby Printing is an equal opportunity employer. Prospective employees will receive consideration without discrimination based on race, creed, color, sex, age, national origin, handicap, veteran status or any condition prescribed by state or local law.


PERSONAL INFORMATION

Job Interest

As Needed (On Call) Full Time (25-40 hrs per week) Part Time (8-24 hrs per week)
(check all that apply)      
       Hour Week Annual Salary
Yes No  

Yes No Occasionally  

Education/Training

Yes No
(experience is not required for all positions which we employ)    

(please also list this information under the appropriate sections of your job history)

Current Employment

 

Hourly Weekly Monthly Annual

Actively Working Temporary Layoff Other:
     

Employment History

Please list employment history starting with most recent.  Include unemployment periods, service with the military, voluntary and/or part-time work.

Company Name Telephone
Address Employed From Employed To
  Month:  Year: Month:  Year:
Name of Direct Supervisor Your Reason For Leaving

 Your Job Title and brief description of work

Ending Salary: $ Hourly Weekly Monthly Annual

 

Company Name Telephone
Address   Employed From Employed To
  Month:  Year: Month:  Year:
Name of Direct Supervisor Your Reason For Leaving

 Your Job Title and brief description of work

Ending Salary: $ Hourly Weekly Monthly Annual

 

Company Name Telephone
Address   Employed From Employed To
  Month:  Year: Month:  Year:
Name of Direct Supervisor Your Reason For Leaving

 Your Job Title and brief description of work

Ending Salary: $ Hourly Weekly Monthly Annual

 

Company Name Telephone
Address   Employed From Employed To
  Month:  Year: Month:  Year:
Name of Direct Supervisor Your Reason For Leaving

 Your Job Title and brief description of work

Ending Salary: $ Hourly Weekly Monthly Annual

Miscellaneous Information

    Yes   No

    Yes   No

    Yes   No

Yes No

Yes No

Yes No

Yes No

    Yes    No

Additional Information

Membership in professional and civic organizations, special accomplishments, awards, hobbies, etc.

(Exclude those which may disclose your race, color, religion, age, or national origin.)

Note: Drug Screening, Personal Credit, and Background checks are standard and mandatory for all positions in which we hire.

Conditions of Employment

In filing this Application form, I understand that Shelby Printing will investigate the facts and statements submitted by me. I hereby grant Shelby Printing permission to check any of this information. This includes reference checks with present employers.

I also understand that any falsifications, omissions, or misrepresentations of facts upon this application will be adequate grounds for my not being hired, or my dismissal, at the discretion of Shelby Printing, regardless of when discovered or acted upon by Shelby Printing.

This application is not an employment agreement. I understand that should I obtain employment at Shelby Printing, I must abide by its rules, regulations and policies, and further agree that my employment and compensation are at the will of Shelby Printing and can be terminated, with or without cause, and with or without notice, at the option of either Shelby Printing or myself. I understand and agree that no one, other than an executive officer of Shelby Printing, has the authority to enter into any employment agreement with terms contrary to the foregoing and then only in writing signed by such officer.

By signing this statement, I give Shelby Printing permission to perform a background investigation - including information as to my personal credit standings and criminal record.

By signing this statement, I understand that Shelby Printing may require a medical examination upon acceptance of an employment agreement, to help ensure that I am able to perform job duties safely. I also understand that drug screening is a mandatory requirement upon acceptance of a job offer. I further understand that a result of positive from a requested drug screening is adequate grounds for termination of my employment with Shelby Printing.

To assist in the processing of my Application, I waive all rights and claims I may otherwise have against Shelby Printing or its representatives, for seeking, and using information to evaluate my employment request and all other persons, corporations or organizations who provide information for this purpose.

NOTE: Incomplete applications will be discarded upon receipt.
Applications are kept on file with our Human Resources office for 12 months.
Make application follow-up requests IN WRITING ONLY to: HR Manager, P.O. Box 758, Tiffin, OH 44883.





325 Martin Drive
Shelby, OH 44875
info@shelbyprintingllc.com
P.419.342.3171
F.419.347.3114