Employment Application

Smucker Company is an equal opportunity employer. It is the policy of Smucker Company to consider all applications without regard to race, religion, color, creed, sex, age, marital status, veteran status, national origin, disability or any other basis upon which discrimination is prohibited by municipal, state or federal law. No question on this application is intended to secure information that may be used for discriminatory purposes.

Introduction

Position Applied For

Today's Date

Date Available

Salary Requirements

Name of person(s) who referred you

Personal Data

First Name

Middle Name

Last Name

Address

Apartment Number

City

State

ZIP/Postal Code

Home Phone

Cell Phone

Are you over the age of 18?

If no, when will you turn 18?

Are you eligible for employment in the United States?

Has any time restriction been placed on your eligibility for employment in the U.S.?

If yes, what restrictions?

If hired, you are required by law to submit proof of identity and eligibility to work in the U.S.

Have you ever been employed by this Company before?

If yes, give date(s), position(s), and reasons for leaving employment

Do you have any friends/relatives employed with this Company?

Name of Friend or Relative

Are you capable of performing the essential functions of the job for which you are applying with reasonable accommodation?

If no, please describe

*NOTE. Smucker Company prohibits the use of alcohol, illegal drugs, intoxicants, and controlled substances on any of its workplaces. The Company may require drug and/or alcohol testing in the event of a reasonable suspicion and when an accident occurs in the work place.

Military Service Data

Have you ever served in the United States Military Armed Forces?

If yes, starting date of service

List special skills/abilities acquired

Education/Skills

High School

Name & Address of School Attended

Did you graduate?

Type of Degree/Diploma Received or Expected

Major/Minor Fields of Study

Trade/Tech/Apprentice

Name & Location

Did you graduate?

Type of Degree/Diploma Received or Expected

Major/Minor Fields of Study

College

Name & Location

Did you graduate?

Type of Degree/Diploma Received or Expected

Major/Minor Fields of Study

Skills/Other

Special Training

Special Skills

List any honors or scholarships received

List professional, trade, business or civic activities and offices held (you may exclude memberships which would reveal sex, race, religion, national origin, age, disability or other protected status)

References

Name

Address

Phone Number

Name

Address

Phone Number

Name

Address

Phone Number

Employment Record

Please list date of all employment within past five years starting with your most recent position.

Company Name & Address

Position Title/Duties

Supervisor's Name

Supervisor's Title

Supervisor's Telephone Number

Employed From

Starting Salary

Ending Salary

Reason for Leaving

May we contact your previous supervisor for a reference?

Company Name & Address

Position Title/Duties

Supervisor's Name

Supervisor's Title

Supervisor's Telephone Number

Employed From

Starting Salary

Ending Salary

Reason for Leaving

May we contact your previous supervisor for a reference?

Company Name & Address

Position Title/Duties

Supervisor's Name

Supervisor's Title

Supervisor's Telephone Number

Employed From

Starting Salary

Ending Salary

Reason for Leaving

May we contact your previous supervisor for a reference?

Company Name & Address

Position Title/Duties

Supervisor's Name

Supervisor's Title

Supervisor's Telephone Number

Employed From

Starting Salary

Ending Salary

Reason for Leaving

May we contact your previous supervisor for a reference?

Tell Us About Your Experience

1. How long have you been doing commercial construction? If not, what experience do you have?

2. How are your people skills? Are you a team player?

3. What does safety mean to you on the jobsite?

4. What are some of your strengths and weaknesses?

5. What made you apply at Smucker Company?

Smucker Company Employee Expectations

Provide your own transportation to the job
Take personal responsibility for your own safety
Be on time and complete a full day
Keep breaks to set times
Be productive
Maintain a good attitude
Provide quality workmanship
Be dependable
Work well with others
Ensure that all personal and company tools are kept in good condition

Applicant's Acknowledgement

I agree that Smucker Company prohibits the use of alcohol, illegal drugs, intoxicants, and controlled substances on any of its workplaces. I understand that The Company may require drug and/or alcohol testing when a reasonable suspicion exists, when an employee is found in possession of the items listed above and when an accident, near-miss or incident occurs in which safety precautions are violated.

I grant permission to Smucker Company to investigate and solicit information as to my education, employment history, character, and general reputation. This includes notifying the Social Security Administration (SSA) and, if necessary, the Department of Homeland Security (DHS), with information from my Form I-9 to confirm work authorization. I release Smucker Company and all persons or organizations from any liability arising from such statements, their solicitation or use.

I have read and understand the Smucker Company Employee Expectations and by completing this application, I agree that I would abide by these expectations.

I understand that this employment application and any other company documents are not contracts of employment and that any individual who is hired may voluntarily leave or be terminated at any time, with or without cause. If terminated, I authorize Smucker Company to deduct, to the extent permitted by law, any amount which I may owe to it from any amount which Smucker Company may owe me. I understand that no representative of Smucker Company has any authority to offer or to enter into any agreement for employment for any specified period of time or to make any agreement contrary to the foregoing.

I certify that all statements made by me on this application are true and correct to the best of my knowledge and belief. I understand that any false, inaccurate, or omitted statements of a material fact could be a cause for rejection of my application or termination of my employment at any time.

I have read, understand and by my signature consent to these statements.

Date

Electronic Signature