Personal Information

Fields marked with an asterisk (*) are required.

First Name *

Last Name *

Application Date *

Street Address *

City *

State *

Zip *

Cell Phone

Home Phone

Email Address *

Are you legally eligible for employment in the USA? * (Proof of identity and eligibility will be required upon employment.)

Are you at least 18 years or older? * (If "No", you may be required to provide authorization to work.)

Are you willing to work overtime? *

Employment Desired

Position(s) applying for *

Date Available to Start Work *

Hourly rate/Salary desired * $

Are you currently employed? *

If yes, may we inquire of your present employer? *

Are you able to perform the essential functions of the job for which you are applying, with or without reasonable accommodation? *

Do you have any special skills, experience and/or training that would enhance your ability to perform the position applied for? *

Referral Source

How did you hear about us?

Other

Have you ever worked for FG Products, Inc before? *

If yes, please explain

Do you know anyone who works for our company? *

If yes, who?

Educational Background

High School

School *

Years Completed

Degree/Certificate

Major

Add another High School

College or University

School *

Years Completed

Degree/Certificate

Major

Add another College or University

Trade, Business, or Correspondence Schools

School

Degree/Certificate

Major

Add another Trade School

Employment History

Include your last seven (7) years of employment history, including periods of unemployment, starting with the most recent and working backwards in time. Please complete all fields.

Employer 1

All employer fields are required*

Dates Employed

TO

May we contact for reference?

Rate of Pay $

Summarize the nature of the work preformed and job responsibilities.

Add another Employer

References *

Name

Address, Phone, Email

Company

Years Acquainted

Please read carefully before signing.

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for FG Products, Inc to hire me. If I am hired, I understand that either FG Products, Inc or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of FG Products, Inc has the authority to make any assurance to the contrary.

I authorize FG Products, Inc to inquire into my education, professional, and past employment history with references as needed to determine my qualifications and suitability for employment. I hereby give my consent to any former employer or educational institution to provide academic or employment related information about me to FG Products, Inc. This includes any pertinent information they may have, personal or otherwise, and I release all parties from all liability for any damage that may result from furnishing this information.

I understand that I will be required to pass a pre-employment fit for duty and drug test. I consent freely and voluntarily to participate in the required fit for duty and drug screening. I hereby release FG Products, Inc. from any liability whatsoever arising from the fit for duty and drug screening and/or background check and decisions concerning employment based upon the results of the tests and checks.

I attest with my signature below that I have given to FG Products, Inc true and complete information on this application. No requested information has been concealed. I authorize FG Products, Inc to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal.

*

Are you interested in a career at FG Products?

Employment Application

Personal Information

Employment Desired

Referral Source

Educational Background

High School

College or University

Trade, Business, or Correspondence Schools

Employment History

Employer 1

References *

Please read carefully before signing.

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