FULFLEX DIVISION, INC

BRATTLEBORO, VT 05301

APPLICATION FOR EMPLOYMENT

We are an Equal Opportunity Employer, and do not discriminate in our hiring or employment practices. All qualified Applicants will receive consideration without regard to race,color,national origin,sex,sexual orientation, age disability, gender identify or expression, military or veteran status, genetic information, religious beliefs or any other class protected by state, federal or local law.

Applicant Details
Contact Details
Company Details
Education Details
High School *
College/university
Other Studies
Employment Record
US military service
Professional license(s) or membership(s)

You need not disclose membership in professional organizations that may reveal information regarding race, color, sex, religion, national origin, ancestry, age, disability, marital status, veteran status or any other produced status.

Professional Reference
Applicant's certification and agreement

I hereby certify that the facts set forth in the above employment application are true and complete to the best of my knowledge and authorize Fulflex Division to verify their accuracy and to obtain reference information on my work performance .I hereby release Fulflex Division from any/all liability of whatever kind and nature which, at any time, could result from obtaining and having an employment decision based on such information.

I understand that, if employed, falsified statements of any kind or omission of facts called for on this application shall be considered sufficient basis for dismissed.

I understand that should an employment offer be extended to me and accepted that I willfully adhere to the policies, rules and regulations of employment of Employer. However, I further understand that neither the policies, rules, regulations of employment nor anything said during the interview process shall be deemed to constitute the terms of an implied employment contract. I understand that any employment offered is for an indefinite duration and at will and that either I or Employer may terminate my employment at any time with or without notice or course.

To be answered only at the conclusion of the interview


Dear Applicant:

Please be advised that this letter serves to notify you that you will be required to pass a urine drug test, performed at an outside lab, as a final step prior to being hired as an employee or Fulflex of Vermont.

The test screens for: amphetamines, barbiturates, benzodiazepines, cocaine, methadone, methaqualone, morphine, andphencyclidine. Therapeutic levels of prescription drugs tested will not be reported.

Fulflex has these tests conducted solely in the interest of safety for all employees. Due to the natureof our operations – the operation of moving machinery and heavy equipment-we feel that it is critical for your own safety, and also for the safety of fellow employees.

If you have any questions, please contact Fulflex at (802)257-5256 between the hours of 8:00a.m. and 5:00p.m; Monday through Friday.

Please sign and date below to acknowledge receipt and understanding of this notification.

I hereby acknowledge that I have read and understand the above notification.