Winsert LLC is an equal opportunity employer. We do not discriminate with regard to race, sex, religion, color, national origin, citizenship, handicap or disability, age, or any other basis prohibited by law. We also provide reasonable accommodations to disabled individuals who can otherwise perform their essential job functions.

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General Information

Home Address
Home Address
City
State/Province
Zip/Postal
Country
Have you ever applied for employment with Winsert?
Apart from absence for religious observance, are you available for full-time work?
What shifts are you applying for?
Please check all that apply.
Are you on layoff or subject to recall?
Are you legally eligible for employment in the United States?
Are you 18 years old or older?
How were you referred to Winsert, Inc.?
Please check all that apply.
Have you ever been convicted of a crime in the last seven years other than minor traffic violations?
Note: Applicants who have been convicted of a criminal offense will not automatically be denied employment. The conviction will only be considered as it relates to the duties of the job.

Education and Training

Incomplete applications will not be considered.
High School Address
High School Address
City
State/Province
Zip/Postal
Country
type of degree or certificate

Licenses / Certificates Required For, Or Related To, Position Applying For

Military Service

date ranges of service
Please list experience with machines, office equipment, languages, or other special skills pertinent to the position for which you are applying.

Business and Professional References

Please provide the names of three references who have given you their permission to contact. We must have at least two former supervisors and preferably one professional contact at your workplace. Please no personal references.
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Record of Employment

Please list present or most recent employer first.
Company Address
Company Address
City
State/Province
Zip/Postal
Country
Date range of employment.
Please do not put "see resume."
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It is the Policy of Winsert LLC to seek and employ the best qualified personnel, to provide equal opportunity for the advancement of employees, including upgrading, promotion, and training and to administer these activities in a manner which will not discriminate against any person because of race, color, religion, sex, sexual orientation, age, national origin, handicap, veteran status, disability or other protected categories in applicable federal, state, or local laws.

Job Applicant's Agreement (Read Statement Below Carefully & Sign)

I certify that the facts contained in this application are true and complete to the best of my knowledge. I understand that any false statements, omissions, or misrepresentations on this application or false statements made during the employment process may be considered sufficient cause for rejection of this application or dismissal if I have been employed, no matter when discovered by the Company. I hereby authorize Winsert LLC to thoroughly investigate my references, employment record and other matters related to my suitability for employment and, further authorize my former employers or any third party to disclose to the Company all reports and other information related to my suitability for employment, without giving me prior notice of such disclosure. In addition, I hereby release the Company, former employers and all references listed above, from any and all claims, demands or liabilities arising out of or related to such investigation or disclosure. I understand that if offered a position, a condition of employment may be that I take a test for the purpose of detecting any drugs which might impair my ability to safely perform my job. I further understand that, should this test indicate the presence of drugs in my body, it may result in the rejection of my application for employment or my immediate discharge, if detected after hire. I consent to this testing and request that the results of such test(s) be disclosed to the Company and I hereby release the Company, its employees and agents, from any and all legal liability flowing from my taking such test(s) or my failure or refusal to take such test(s). I understand that nothing contained in this application, or conveyed during any interview which may be granted, is intended to create an employment contract. I further agree that if I am hired, my employment is for no definite period and may be terminated at any time, without prior notice, at the option of either myself or the Company. I further understand that no representative of the Company has the authority to make any assurances to the contrary. I understand that filling out this form does not indicate there is a position open and does not obligate the Company to hire me. If hired, I agree to abide by all Company work rules, policies and procedures relating to work performance and conduct. This application will be kept active for 6 months. If you are still interested in employment after 6 months, you must reapply.

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