Employment Application

Please fill out all fields. Thank you for your interest!

* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

I am 18 years or older (Note: Being 18 is not a requirement for all positions) *

I am able to sit and stand for long periods of time and lift up to 20 pounds *

Reason for leaving last job: *

I am willing to have Rowland Mold & Machine contact past employer(s) as references. *

If hired, I would be willing to submit to a drug test and background check *

Position(s) applying for: *

I'm hoping to work.... *

Part time (less than 20 hours/week) Part time (20 - 39 hours/week) Full time (40 hours/week) Overtime (40+ hours/week)

My preferred work hours would be (approximately): *

First shift (7 am - 3:00 pm) Second shift (3 pm - 11:00 pm) 3rd shift (11 pm - 7:00 am) Evenings and weekends only Something different - we can discuss later

I am willing to consider a shift other than the preferred shift indicated above *

Yes No

My experience level.... *

I'm new but willing to learn. I have 1-5 years experience. I have 6 or more years of experience.

In the box below feel free to add any information about yourself that may be pertinent to your application. *

**If you have a resume and cover letter, it can be emailed to [email protected]

If you heard about this job from a current employee of Rowland Mold & Machine or Rowland Plastics, please tell us who referred you, so we may reward them for the referral: *

How did you hear about this job? *

Social media advertisement Internet search Friend or family Other

I have experience with.... *

Driving truck (CDL) Driving truck (Chauffeur's License) Operating Hi-Lo (certification) Operating hoist (certification or past experience) None of the above