Quality Manufactured Products
Service you Deserve

Employment Application
How were you referred
to Diamond Envelope?
First Name*
Last Name*
Address*
City*
State*
Zip*
Phone*
ex: 8475551234
Mobile/Pager/Other
Email*
Available to Start*
SSN*
ex: 111223333
Salary Requirements

If you are under 18 years of age,
can you provide a work permit?		 YesNo

If no, please explain:
Have you worked for us before? YesNo

If yes, when?
Are you a US Citizen? YesNo
Are you legally allowed
to work in the United States?		 YesNo
Type of employment
Have you ever plead guilty,
no contest, or been convicted
of a crime?		 YesNo

If yes, please give dates & details:

Answering yes to these questions does not constitute an automatic rejection for employment. Date of the offense, seriousness and nature of the violation, rehabilitation and position applied for will be considered.


Drivers License Number
(If applicable to position)		  State 


Summarize Skills/Special Qualifications


Previous Employment

Begin with most recent position.

Position 1:
Employment From  To 
Position(s) Held
Company
Address
City
State
Zip
Phone
Supervisor
Title
Responsibilities
Starting Salary & Title
Ending Salary & Title
Reason for Leaving
May we contact this
employer for references?		 YesNo


Position 2:
Employment From  To 
Position(s) Held
Company
Address
City
State
Zip
Phone
Supervisor
Title
Responsibilities
Starting Salary & Title
Ending Salary & Title
Reason for Leaving
May we contact this
employer for references?		 YesNo


Position 3:
Employment From  To 
Position(s) Held
Company
Address
City
State
Zip
Phone
Supervisor
Title
Responsibilities
Starting Salary & Title
Ending Salary & Title
Reason for Leaving
May we contact this
employer for references?		 YesNo


I certify my answers are true and complete to the best of my knowledge. I authorize Diamond Envelope to make such investigations and inquiries of my personal, employment, educational, financial and other related matters as may be necessary for an employment decision. I hereby release employers, schools or individuals from all liability when responding to inquiries in connection with my application.

In the event I am employed, I understand that false or misleading information given in my application or interview(s) may result in discharge.

By submitting this application, I understand I am electronically signing this application upon submission on September 08, 2010.