Careers

* = Required Fields

First Name *

Middle Initial

Last Name *

Temporary Address

Permanent Address *

Email *

Phone Number *

Mobile Number

Citizen of USA? *

Yes

No

Age (if under 18)

Emergency Contact *

Name, Address, Relationship, Phone Number

Position Desired *

Salary Desired *

Date you are available to work *

Employment Desired *

Full-time only

Part-time only

Full-or-Part time

Can you work nights? *

Yes

No

Days/hours available to work *

How many hours can you work weekly? *

Are you currently employed? *

Yes

No

If yes, explain fully

Have you ever been convicted of a felony? *

Yes

No

If yes, explain fully

Who referred you to Royersford Spring Company?

List any relatives currently employed at RSC

Were you ever employed at RSC in the past? *

Yes

No

If yes, when?

From Month/Year to Month/Year

Highest grade level completed

Elementary through High School

Name of school where you completed this level

Highest grade level completed

College through Graduate School

Name of school where you completed this level

List other educational or special skills

What hobbies or recreational activities do you enjoy?

List any community, social and professional organizations you belong to

Employment History

Please list all of employment starting with present or most recent employer. Account for all periods including unemployment.

Present / Most Recent Employer

Dates

From Month/Year to Month/Year

Name and Address of Employer

Job Title

Supervisor's Name

Describe Major Duties

Starting and Ending Salary

Reason for Leaving

May we contact your present or most recent employer? *

Yes

No

Past Employer

Dates

From Month/Year to Month/Year

Name and Address of Employer

Job Title

Supervisor's Name

Describe Major Duties

Starting and Ending Salary

Reason for Leaving

Past Employer

Dates

From Month/Year to Month/Year

Name and Address of Employer

Job Title

Supervisor's Name

Describe Major Duties

Starting and Ending Salary

Reason for Leaving

I certify that the answers given herein are true and complete to the best of my knowledge.

I voluntarily give Royersford Spring Company the right to make a thorough investigation of my past employment (including contract with previous employers) and activities, I agree to cooperate in such investigation, and release from all liability or responsibility all persons, companies or corporations supplying such information.

This application for employment shall be considered active for a period of time not to exceed 90 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at the time.

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 that 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 document or by conduct unless an authorized executive of this organization specifically acknowledges such change in writing.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.

Careers

Employment History

Present / Most Recent Employer

Past Employer

Past Employer

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