General Information
















Employment Desired








Education

Name & Location Years Attended Did You Graduate? Subjects Studied
High School
College
Trade, Business or Correspondence

General




A felony conviction does not automatically exclude you from consideration



References

List the names of three persons not related to you whom you have known at least 1 year.

Name Address & Phone Number Business Years Known

Former Employers

List below your last four employers, starting with most recent.

Month & Year Name & Address Salary Position Reason for Leaving
























Additional Information

Do you have a valid driver's license?
Can you provide your own transportation to work?
Are you able to stand for extended periods of time and lift up to 40 lbs?
Are you able to drive to locations within 30 miles to work (60 miles roundtrip)?
Are you willing to submit for a drug test if required?
Do you own safety shoes?
What is your shift preference? (check all that apply)

File Upload

Optional: Upload a DOC, DOCX, PDF, or TXT file that is 5mb or less

Authorization

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. I authorize Benchmark National Corporation to investigate facts stated in this application. I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. I authorize Benchmark National Corporation to investigate facts stated in this application.