Eagle Group

*First Name:   

*Last Name:   

*Phone:

Mobile Phone:

*Your Email:   

*Your Address:

*City:               

*State:        *Zip: 

*Job Type Applying for:       

Shift Preference:   

Salary Required:

Are you entitled to work in the United States?    yes no

Are you 18 years old or older?   yes  no  

Military Service?   yes  no - Branch?  

Are you a veteran?   yes  no

Education:

Did You Graduate?  yes   no

*How did you hear about us: 

What Date will you be able to start working?  
 
If you have a Resume please upload it here:

If you do not have a resume you can copy the relevant data into this box.

 


In the section below please tell us about your employment history.

Previous or Current Employer:
 

Manager:

Phone#:

Address:

City:

State: Zip:

May we contact employer?   yes  no

 
Start Date:   End Date:  

Reason for Leaving:
 

Description of Duties Performed:
 

  


  

Previous Employer #2:
  

Manager:

Phone#:

Address:

City:

State: Zip:

Start Date:  End Date:  


Reason for Leaving:
 

Description of Duties Performed:
  

  

Previous Employer #3:
  

Manager:

Phone#:

Address:

City:

State:  Zip:

Start Date:  End Date:

 
Reason for Leaving:

 
Description of Duties Performed:

 


References from former employers/managers/ co-workers only.

 Reference 1:

 Name:   

 Phone:   

 Title:  

 Company:  

 City: 

 State:   Zip: 
 
 Reference 2:

Name:   

Phone:   

Title:  

Company:   

City: 
 
State:     Zip: 
 
 Reference 3:

Name:   

Phone:    

Title:  

Company:   

City:  

State:     Zip: 



List any special skills/qualifications that would contribute to the performance of the position applied for:  (Optional)


*By checking this box I certify that the information on this application is true, correct, and complete, and I authorize the Company to investigate all statements contained in this application. I understand that any misleading or omission of fact may result in the rejection of my application, or if already employed may result in termination of my employment. I also understand that I may be required to submit to drug and/or alcohol testing from time to time, and agree and consent to such testing as may be required by the  company as a term and condition of employment. I further authorize the release of the result of the tests to the company.  

Furthermore I understand that if employed, my employment will be for an indefinite period of time, and that I may terminate my  employment at any time for any reason, and the company may do likewise. I further understand that no representative of the company  has the authority to enter into any agreement to the contrary, unless such agreement is in writing and is signed by the President  of the company.

  

* Fields with this are required.