Application

PLEASE COMPLETE ALL SECTIONS, IF NOT APPLICABLE, ENTER N/A.

Are you 18 years of age or older? *
YesNo
What type of employment you are seeking? *
Part TimeFull Time
Check the highest education level or equivalent completed. *
ElementaryHigh SchoolCollege / TechGraduate / Professional
Are you currently enrolled?*
YesNo
Are you willing to pursue specialized training or continuing education if required?
YesNo
Are you able to work overtime? *
YesNo
If currently employed, may we contact your employer? *
YesNo
Have you ever been convicted of a felony or misdemeanor? *
YesNo

Employment History

List entire employment history, starting with your present employer. Please explain in detail any gaps in employment, showing dates and reasons.

References

List two (2) people (no relatives) you have worked with and whom we may contact for a reference if necessary
First Reference
Second Reference

Important

IMPORTANT – We are glad you are interested in joining U.L. Coleman Company, Ltd. Please read the following statements carefully, initial each statement, sign, and send it in.