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 Plastics contact past employer(s) as references. *

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

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)

I am applying for... *

permanent, long term work temporary work - summer only temporary work - school year only

My preferred work hours would be (approximately): *

First shift (6:45am - 3:00 pm) Second shift (2:45 pm - 11:00 pm) 3rd shift (10:45 pm - 7:00 am) Saturday crew - 8 hour 1st shift Saturday crew - 8 hour 2nd shift Friday/Saturday crew - 8 hour 3rd shift After school and weekends, part time 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.

I have experience with.... *

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

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: *