WV - Loader Application Form

Application For Employment

Our Philippi, WV location has an immediate opening for a Loader position on 1st shift. The individual will load plastic tanks, steel components, and/or related parts and equipment as directed by immediate Supervisor to efficiently and safely ship quality plastic products.

Knowledge of various loading techniques, shipping procedures and forklift operations is preferred.

READ THIS SECTION CAREFULLY

Snyder Industries, Inc. is an Equal Opportunity / Affirmative Action Employer and, therefore, does not discriminate because of race, religion, gender, disability, national origin, age, veteran status, marital status or any other status protected by law.

Philippi, WV

EOE

Thank you for your interest in working for us. Please fill out the online form. Employment decisions are made based on your responses to the following questions. Be sure to include paid and non-paid experiences you feel help qualify you for consideration of employment.

Personal Information

Name

Address

Phone

Email

Social Security Number

Are you 18 years of age or older?
Snyder Industries in accordance with various employment statutes, is required to follow certain minimum age limitations in hiring.

Yes No

Do you have a Valid Driver's License?
(for driving positions only)

Yes No

Driver's License Number & State that Issued:

What position are you applying for?

Production Maintenance Quality Shipping Engineering/Drafting Sales IT Admin

Location for Position:

Available start date

Employment Desired

Full-Time Part-Time Temporary Intern

Willing to work:
Select as many options as you would be willing to work.

Days (1st Shift)‎ Evenings (2nd Shift)‎ Nights (3rd Shift)‎ Split Shifts‎ Rotating Shifts‎ Weekends‎ Overtime‎

If hired, I understand that the shift and the job assignment can be changed at the discretion of management:

Yes

How many hours can you work weekly?

How did you hear about us?

Job Search Engine Social Media Radio Ad Billboard/Banner Current Employee Other: ‎

Employee Name

Have you ever worked for Snyder Industries before?

Yes No

If Yes, please provide position and date(s)

Do any of your relatives work for Snyder Industries?

Yes No

If Yes, please provide name & relationship:

Have you ever been convicted of a felony?

Yes No

If yes, please explain:
NOTE: A conviction record is not an automatic bar to employment and each case will be considered on its own merits for the position for which you are applying.

Are you willing to undergo a post-offer pre-employment physical examination and drug test?

Yes No

Do you understand that unsatisfactory results, refusal or attempting to alter results will be cause for withdrawal of employment offer or termination?

Yes No

If hired, can you furnish proof that you are eligible to work in the United States:

Yes No

If No, please explain:

READ THIS SECTION CAREFULLY: Snyder Industries, Inc. is an Equal Opportunity/Affirmative Action Employer and, therefore, does not discriminate because of race, religion, gender, disability, national origin, age, veteran status, marital status or any other status protected by law.

Education, Military, & Other Certification/Licenses

Have you served in the U.S. Armed Forces?

Yes No

If yes, please select the Branch:

Air Force‎ Army‎ Navy‎ Marine‎ Coast Guard‎

Latest or Highest Education

GED High School Vocational School College/University Graduate School

Institution Name

Institution Address:

Major Field of Study:

Did you graduate or receive certification?

Yes No

Title in the U.S. Armed Forces:

List any special qualifications, skills, licenses, or certificates you now hold (welder, plumber, etc)

Employment Record

What is your current employment status?

Employed Self-Employed Unemployed Student

Most Recent Employer:
If you have had no jobs please use N/A in the required fields.

Address

Start Date:

End Date of applicable

Position or Duties
Provide your current or last position or Duties with this employer.

Reason for leaving

Supervisor's Name

May we contact your Supervisor? If yes, please provide your Supervisor's phone number and/or email:

Yes No

Supervisor's Phone Number:

Supervisor's Email:

Other Employer

Address

Start Date

End Date

Position or Duties

Reason for leaving:

Supervisor's Name

May we contact your Supervisor? If yes, please provide your Supervisor's phone number and/or email:

Yes No

Supervisor's Phone Number:

Supervisor's Email:

Other Employer

Address

Start Date:

End Date

Position or Duties:

Reason for leaving:

Supervisor's Name

May we contact your Supervisor? If yes, please provide your Supervisor's phone number and/or email:

Yes No

Supervisor's Phone Number:

Supervisor's Email:

Upload your cover letter if applicable:

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Upload your resume if applicable:

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References

List two people (other than past employer or relatives) who have knowledge of your character:

Reference Name #1:

Phone

Reference Name #2:

Phone

Production Worker - Supplemental Questionnaire

This information will be used to further evaluate your training and experience as it relates to the position(s) for which you have applied. You may include paid employment, military, volunteer or education training and/or experience. This questionnaire is a supplement to your application and is made a part thereof subject to all terms and conditions noted on the Application of Employment.

1. List any conditions that would restrict your from working outside:
If there is no restrictions please just enter N/A

2. Check as many of the following equipment(s) that you are familiar with and can use:

Impact Wrench‎ Extrusion Welder‎ Granulator‎ Hoist (Air/Electric)‎ Ear Plugs/Muffs‎ Air Drill‎ Plastic Extrusion Welder‎ Lincoln Welder‎ Table Saw‎ Fall Harness‎ Band Saw‎ Pressure Gauges‎ Router‎ Circular Saw‎ Welding Hood/Helmet‎ Shrink Wrap Gun‎ Other Air Operated Equipment‎ Power Washer‎ Safety Glasses‎ RF Scanners‎ Computers‎ Robotics‎ Laser Equipment‎ Insulated Foaming‎

3. Are you able to work indoors in an environment that can have hot temperature extremes during the summer?

Yes No

If no, for what reason.

4. What experience have you had in factory work?
If no experience, please enter NONE

5. Have you operated a forklift:

Yes No

If yes, what types of forklifts have you driven?

6. Have you ever worked on an evening or night shift?

Yes No

If yes, what hours?

7. What special recognition or awards have received at your previous employment?

Certification, Agreement, & Release

By submitting this online application, I hereby certify that the above statements made by me are accurate and complete to the best of my knowledge, and understand that any false statements or misrepresentations will be cause for rejection or dismissal after employment. I understand and agree that this employment application, by itself or together with other company documents or policy statements, does not create a contract of employment. I hereby authorize Snyder Industries, Inc. to request verification of statements made by me on my application for employment and release all parties involved from any and all liability and or damage.

Verification