Employment Application

DEP Employment Application

  • Diversified Engineering and Plastics

    1801 Wildwood Avenue Jackson, Michigan 49204

    Phone (517) 789-8118

    www.deplastics.com

    Application must be completed in full even if attaching a resume; the answers will be confidential.

  • BACKGROUND INFORMATION

  • (Applicable only if position for which you have applied may require driving a motor vehicle.)
  • EDUCATION AND TRAINING

  • EXPERIENCE

    – List present and former employers beginning with the most recent
  • (Enter your start date - end date, i.e. 02/2001-12/2005)
  • Enter Starting wage rate - last wage rate
  • (Enter your start date - end date, i.e. 02/2001-12/2005)
  • Enter Starting wage rate - last wage rate
  • (Enter your start date - end date, i.e. 02/2001-12/2005)
  • Enter Starting wage rate - last wage rate
  • PROFESSIONAL REFERENCES

  • PERSONAL REFERENCES

  • APPLICANT ACKNOWLEDGEMENT AND AUTHORIZATION

  • I hereby certify that all of the information provided by me in this application (or any other accompanying or required documents) is correct, accurate and complete to the best of my knowledge. I understand that the falsification, misrepresentation or omission of any facts in said documents will be cause for denial of employment or immediate termination of employment regardless of the timing of circumstances of discovery. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an “at will” nature, which means the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this “at will” employment relationship may not be changed by any written documentation or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization. In consideration for employment with Diversified Engineering & Plastics, LLC, if employed, I agree to conform to the rules, regulations, policies and procedures of the organization at all times and understand that such obedience is a condition of employment. I understand that if offered a position with Diversified Engineering & Plastics, LLC, I may be required to submit to a pre-employment medical examination, drug screening and background check as a condition of employment. I understand that unsatisfactory results from, refusal to cooperate with, or any attempt to affect the results of these pre-employment tests and checks will result in withdrawal of any employment offer or termination of employment if already employed. I herby authorize any and all schools, former employers, references, courts and any others who have information about me to provide such information to Diversified Engineering & Plastics, LLC and/or any of its representatives, agents or vendors and I release all parties involved from any and all liability for any and all damage that may result from providing such information. I understand that this application is considered current for six months. If I wish to be considered for employment after this period I must fill out and submit a new application.

  • BY SIGNING BELOW I ACKNOWLEDGE THAT I HAVE READ, UNDERSTOOD AND AGREE TO THE ABOVE STATEMENTS.

  • (Your typed name serves as your legal signature)
  • Accepted file types: pdf.
  • Please check all answers are complete then press "Submit"