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Position(s) applying for:
Production Associate Summer Chemical Production Intern 2025
Temporary work - such as summer or holiday work?
Yes
No
Regular part-time work?
Yes
No
Regular full-time work?
Yes
No
If under 18 years of age, do you have a work permit?
Yes
No
Under 18 years of age, hire is subject to verification of minimum legal age. i.e. work permit
What days and hours are you available to work?
If hired, on what date can you start working?
Can you work evenings?
Yes
No
Are you available to work overtime?
Yes
No
Have you ever applied to / worked for Aldon Corporation before?
Yes
No
If yes, please explain (include date)
Do you have any friends, relatives or acquaintances working for Aldon?
Yes
No
If yes, state name & relationship
How were you referred to Aldon?
If hired, do you have reliable transportation to/from work?
Yes
No
If hired, would you be able to present evidence of your legal right to work in the United States?
Yes
No
If hired, are you willing to submit to a controlled substance test?
Yes
No
Are you able to perform the essential functions of the job for which you are applying, either with / without reasonable accommodations?
Yes
No
If no, describe the functions that cannot be performed
(Note: Company complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. It is possible that a hire may be tested on skill/agility and may be subject to a medical examination conducted by a medical professional.)
High School
School Name
School Address
City
State
Zipcode
Number of years completed
Did you graduate?
Yes
No
Degree / diploma earned
College / University
School Name
School Address
City
State
Zipcode
Number of years completed
Did you graduate?
Yes
No
Degree / diploma earned
Vocational School
School Name
School Address
City
State
Zipcode
Number of years completed
Did you graduate?
Yes
No
Degree / diploma earned
Military
Branch
Rank in Military
Total Years of Service
Skills/duties
Related details
Do you have any other experience, training, qualifications, or skills which you feel should be brought to our attention, in the case that they make you especially suited for working with us?
Yes
No
If yes, please explain
Are you currently employed?
Yes
No
If you are you currently employed, may we contact your current employer?
Yes
No
Below, please describe past and present employment positions, dating back five years. Please account for all periods of unemployment. Even if you have attached a resume, this section must be completed.
Employer 1
Name of Employer
Name of Supervisor
Phone
Business Type
Address
Ctiy
State
Zip
Length of Employment
Start Date
Finish Date
Position & Duties
Reason for Leaving
May we contact this employer for references?
Yes
No
Employer 2
Name of Employer
Name of Supervisor
Phone
Business Type
Address
Ctiy
State
Zip
Length of Employment
Start Date
Finish Date
Position & Duties
Reason for Leaving
May we contact this employer for references?
Yes
No
Employer 3
Name of Employer
Name of Supervisor
Phone
Business Type
Address
Ctiy
State
Zip
Length of Employment
Start Date
Finish Date
Position & Duties
Reason for Leaving
May we contact this employer for references?
Yes
No
List below three individuals who have knowledge of your work performance within the last four years. Please include professional references only.
Reference 1
Name
Phone
Email
Address
City, State, Zip
Occupation
Number of Years Acquainted
Reference 2
Name
Phone
Email
Address
City, State, Zip
Occupation
Number of Years Acquainted
Reference 3
Name
Phone
Email
Address
City, State, Zip
Occupation
Number of Years Acquainted
I certify that I have not purposely withheld any information that might adversely affect my chances for hiring. I attest to the fact that the answers given by me are true & correct to the best of my knowledge and ability. I understand that any omission (including any misstatement) of material fact on this application or on any document used to secure can be grounds for rejection of application or, if I am employed by this company, terms for my immediate expulsion from the company.*
I understand that if I am employed, my employment is not definite and can be terminated at any time either with or without prior notice, and by either me or the company. I understand that no management representative has any authority to enter into any agreement for continuing employment for any specific period of time or which is contrary to the foregoing and that any such agreement must be in writing signed by the Company President.*
I give the Company permission to contact all or any of my previous employers and references and authorize them to disclose any information the Company may request in the course of its investigation of this application for employment, and I hereby release the Company and such references and prior employers from any and all liability with respect to such disclosures.*
After a tentative offer of employment has been made, if requested by the Company, I agree to take a job-related respiratory fit test medical examination at no personal expense and authorize the examining physician to disclose the findings to the Company. I understand that any offer of employment is conditioned upon receipt of satisfactory references and satisfactory completion of any such job-related medical examination. I also understand that I may be requested now or at any subsequent time during my employment with the Company to submit to drug and/or alcohol tests, at the Company’s expense. I understand that if I refuse to take the test, consideration for employment or my employment may be terminated immediately.*
If employed, I will abide by the Company’s rules and regulations, which I understand are subject to change by the Company.*
Applicant Signature*
Date