Online Application

Application for Employment

Rubberlite, Inc. is an equal opportunity employer and does not discriminate against otherwise qualified applicants on the basis of race, color, creed, religion, ancestry, age, sex, marital status, national origin, disability or handicap, or veteran status.

Personal


















(If offered employment, you will be required to provide documentation to verify eligibility.)




Education

Please indicate education or training which you believe qualifies you for the position you are seeking.

High School


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College/Vocational School

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Relevant Skills


Other Training or Degrees





Professional License or Membership

PLEASE NOTE: You need not disclose membership in professional organizations that may reveal information regarding race, color, creed, sex, religion, national origin, ancestry, age, disability, marital status, veteran status or any other protected status.






Record of Conviction


PLEASE NOTE: A conviction will not automatically disqualify you for employment. Rather, such factors as age and date of conviction, seriousness and nature of the crime, and relevance to open position will be considered.)

Employment

PLEASE NOTE: List the most recent employer first, including U.S. Military Service.


Employer #1











Employer #2











Employer #3











Applicant's Certification:

I hereby affirm that the information provided on this application is true and complete to the best of my knowledge. I also agree that falsified or omitted information may disqualify me from further consideration from employment and may be considered justification for dismissal if discovered at a later date.

I understand that if I am employed by Rubberlite, Inc. my employment can be terminated, with or without cause, at any time at the discretion of either Rubberlite, Inc. or by me. I understand that no management official, except as authorized in writing by the Board of Directors of Rubberlite, Inc. has any authority to enter into any agreement contrary to the foregoing or make any oral assurance or promise of continued employment. Any contractual agreement authorized by the Board of Directors will be in writing and duly signed.

I authorize persons, schools, my current employer, if applicable, previous employers, organizations, and references named in this application to provide any relevant information that may be required to arrive at any employment decision, and I expressly authorize Rubberlite, Inc. to contact any of these for such purposes. I also expressly release those above authorized from any and all employment liability and will supply additional authorizations and releases as may be deemed necessary to assist in arriving at any employment decision.

I further agree that if I am employed by Rubberlite, Inc. that I will abide and comply with all of Rubberlite, Inc.’s rules and regulations, unless otherwise specifically agreed to in writing. I also understand and agree that any employment rules, regulations, handbooks, guidelines, manuals, or policies that may be distributed or given to me during such employment with Rubberlite, Inc. shall be subject to change at the discretion of Rubberlite, Inc. and shall not be construed as a contract.

I understand that continued employment is contingent upon providing proof of employment eligibility under immigration laws and regulations.

This application will be on file for six (6) months from the date received. Thank you for your interest in employment with Rubberlite, Inc.