ABOUT
PRIVATE LABEL
CONTRACT MFG
PRODUCTS
ALL PRODUCTS
SYRUP MANUFACTURING
PRIVATE LABEL BREAKFAST SYRUPS
Cocktail Mixer Manufacturing
Flavored Water Syrup
Private Label Energy Shots
Private Label Sauce Manufacturing
Custom Slush Manufacturing
PRODUCT DEVEL
OUR PROCESSES
DLT ADVANTAGE
AIRTIGHT™ PROCESS
CASE STUDIES
CONTACT
COVID-19 RESP
ABOUT
PRIVATE LABEL
CONTRACT MFG
PRODUCTS
ALL PRODUCTS
SYRUP MANUFACTURING
PRIVATE LABEL BREAKFAST SYRUPS
Cocktail Mixer Manufacturing
Flavored Water Syrup
Private Label Energy Shots
Private Label Sauce Manufacturing
Custom Slush Manufacturing
PRODUCT DEVEL
OUR PROCESSES
DLT ADVANTAGE
AIRTIGHT™ PROCESS
CASE STUDIES
CONTACT
COVID-19 RESP
Application for Employment
PERSONAL INFORMATION
Name (Full – Last, First, MI)
*
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Home Phone
*
(###)
###
####
Business Phone
*
(###)
###
####
Position applying for
Salary expected
What date are you available to start work?
MM
DD
YYYY
I am willing to work
Full Time
Part Time
Temporary
2nd Shift
Weekends
Overtime
Have you ever filed an application with us before?
Yes
No
If YES, give date
Have you previously been employed by our company?
Yes
No
If YES, give date
Do you have any friends or relatives working here
Yes
No
If YES, please list
Are you at least 18 years of age?
Yes
No
Are you legally authorized to work in the United States?
Yes
No
Can you provide proof of eligibility to work in the US?
(Proof of eligibility will be required before you can be employed)
Yes
No
Can you furnish a work permit?
Yes
No
Not Applicable
EDUCATION
For each level of schooling below, please write the school name, the city and state where it is located, your major and minor subjects, and the degree or diploma you received.
Elementary School • City/State
Grade Completed
1
2
3
4
5
6
7
8
High School • City/State
Grade Completed
9
10
11
12
Did you graduate?
Yes
No
College 1 • City/State
Degree Received Or Expected
Average Grade
Course major/Field
College 2 • City/State
Degree Received Or Expected
Average Grade
Course major/Field
Other job-related, educational institutions, licenses, certifications, any specialized training, apprenticeship, skills or any additional information you feel may be helpful to us in considering your application.
Do you have a reliable means of transportation to and from work?
Yes
No
EMPLOYMENT HISTORY
(List below last employers, starting with the most recent one first)
Present or Last Position
Name of Company
Name of Company
From Mo/Yr
MM
DD
YYYY
To Mo/Yr
MM
DD
YYYY
Street Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Next Previous Position
Name of Company
From Mo/Yr
MM
DD
YYYY
To Mo/Yr
MM
DD
YYYY
Street Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Next Previous Position
Name of Company
From Mo/Yr
MM
DD
YYYY
To Mo/Yr
MM
DD
YYYY
Street Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
If currently employed, may we contact your present employer?
Yes
No
References
List at least three responsible adults who have knowledge of your work ethic, experience, and ability. (Do not include relatives)
Name 1/Address/Telephone No./Occupation
Name 2/Address/Telephone No./Occupation
Name 3/Address/Telephone No./Occupation
Are you currently on lay-off and subject to recall?
No
Yes
Have you ever been bonded?
No
Yes
If YES, has bond ever been refused or cancelled?
No
Yes
Have you ever been convicted of a felony or misdemeanor?
No
Yes
If YES, please explain below giving date, charge, county & all other detail matter pending and current status:
(Conviction will not necessarily disqualify an applicant from employment)
Are you bound by any non-compete agreements with your current or former employer(s)
If yes, email a copy of the agreement to awilson@dltdelivers.com
No
Yes
Do you have any commitments or other agreements with another employer that might affect your employment with (Company)?
No
Yes
If yes, please explain
If applying for a position that requires driving, do you have a valid driver’s license?
Yes
No
Please list date and description of all chargeable accidents
Driver’s license #/State/Class
CDL
No
Yes
Please describe any experience or special training received in the military or in government service related to the position for which you are applying:
If applying for a clerical position, what business equipment can you operate? (For example, computers, copiers, etc.)
If applying for a clerical/administrative/professional position that requires speed and accuracy on the keyboard, indicate your speed: Words/Minute:
List the specific skills, qualifications you possess related to the position for which you are applying
In what computer software programs are you proficient?
Name the package(s).
JOB APPLICANT’S AGREEMENT AND CERTIFICATION
PLEASE READ THE FOLLOWING STATEMENTS CAREFULLY BEFORE SIGNING
• In consideration of my employment, I agree to conform to the policies and procedures of the company. I understand that in accepting this application, the company is in no way obligated to provide me with employment and that I am not obligated to accept employment if offered. Furthermore, if employed, I understand that I am employed at will and that my employment and compensation can be terminated with or without reason, and with or without notice at any time.
I Agree
• I understand that this application will be kept on file for one year from the date completed, after which time I would have to reapply in accordance with established company procedures.
I Agree
• I also understand that any offer of employment is conditioned on pre-employment procedures, which includes a background check, tests and documentation. I will, upon request, sign all necessary consent and authorization and release forms. I voluntarily and knowingly authorize the company and/or its agents, to verify any aspect of the information contained in my employment application or through public and private sources. I authorize any third party organization to perform a consumer report and background investigation. I also authorize and consent any companies, schools or persons listed on this application (or accompanying resume) to give any information regarding my employment, qualifications and character to (Company). I understand that the employment information may include, but is not necessarily limited to, performance evaluation and reports, job descriptions, disciplinary reports, letters of reprimand, and opinions regarding my suitability for employment possessed by it.
I Agree
• I voluntarily and knowingly, fully release and discharge, absolve, indemnify and hold harmless you, your agents and any former employer, person, firm, corporation, school or government agency, its officers, employees and agents from any and all claims, liability, demands, causes of action, damages, or costs, including attorney's fees, present or future, whether known or unknown, anticipated or unanticipated, arising from or incident to the disclosure or release of any such information to you, your agents, or consumer reporting agency.
I Agree
• I understand that I may be required to take a drug test as a part of the application process, as a condition of employment or at any time during employment. I may also be required to take and pass a physical exam if I am selected for employment and before beginning employment.
I Agree
• I agree that any claim or lawsuit relating to my service with (Company) must be filed no more than twelve (12) months after the date of the action that is the subject of the claim or lawsuit. I waive any statute of limitations to the contrary.
I Agree
• I have read and understand the contents of this employment application and am fully able and competent to complete it.
I Agree
Applicant
First Name
Last Name
Date
MM
DD
YYYY
WE ARE AN EQUAL OPPORTUNITY EMPLOYER
Thank you!
