Job Application

Interested in joining our team? Please fill out the application below.

Notice: this is not the application for PDC jobs. If you are applying for a PDC job then...

Job Application

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. We consider applicants for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status, the presence of non-job related medical condition or handicap, or any other legally protected status.

Position's Applied For *

Date of Application

Lastname *

Firstname *

Middlename (optional)

Address *

City *

State *

Zip Code *

Telephone Number *

Email *

Social Security Number

Current DL No:

Expiration Date

State

CDL/Class

If you are under 18 years of age, can you provide required proof of eligibility to work?

Yes

Have you ever filed an application with us before?

Yes

Give date(s)

Have you ever been employed with us before?

Yes

Give date(s)

Do any member of your family or household currently work for or hold an elected office with Paug-Vik, Inc. Ltd?

Yes

Explain

Are you considered a Shareholders of Paug-Vik, Inc. Ltd?

Yes

Are you currently employed?

Yes

May we contact your present employer?

Yes

On what date would you be available for work?

Are you available to work: *

Part Time

Full Time

Shift Work

Temporary

Are you currently on "lay-off" status and subject to recall?

Yes

Can you travel if job requires it?

Yes

Have you been convicted of a felony (within the last 7 years)? (Note: Conviction will not necessarily disqualify an applicant from employment)

Yes

Explain?

Have you ever had any job-related training in the United States Armed Forces ?

Yes

Explain

Do you have any physical, mental or medical impairments or disabilities which would limit your ability to perform your job related duties?

Yes

Explain

HIGH SCHOOL

School Name and Location

Years Completed

Diploma/Degree

Course of Study

Describe any specialised training, apprenticeship, skills and extra curricular activities

Describe any honors you have received

State any additional information you feel may be be helpful to us in considering you application.

UNDERGRADUATE COLLEGE / UNIVERSITY

School Name and Location

Years Completed

Diploma/Degree

Course of Study

Describe any specialised training, apprenticeship, skills and extra curricular activities

Describe any honors you have received

State any additional information you feel may be be helpful to us in considering you application.

GRADUATE / PROFESSIONAL

School Name and Location

Years Completed

Diploma/Degree

Course of Study

Describe any specialised training, apprenticeship, skills and extra curricular activities

Describe any honors you have received

State any additional information you feel may be be helpful to us in considering you application.

Indicate any foreign languages you can speak, read and/or write

Speak, Write and Read ( Fluent )

Speak, Write and Read ( Good)

Speak, Write and Read ( Fair )

List any professional, trade, business or civic activities and offices held

You may include memberships that would reveal sex, race, religion, national origin, age, ancestry or handicap or other protected status

PERSONAL REFERENCES

Give names, addresses and telephone numbers of three references who are not related to you and are not previous employers

Reference 1: Name

Reference 1: Address

Reference 1: Telephone # :

Reference 2: Name

Reference 2: Address

Reference 2: Telephone # :

Reference 3: Name

Reference 3: Address

Reference 3: Telephone # :

EMPLOYMENT EXPERIENCE

Start with your present or most recent job. Include any job-related military service assignments and volunteer activities. You may exclude organisations that indicate race, color, religion, gender, national origin, handicap or other protected status

EMPLOYER 1

Employer

Address

Telephone Number

Dates Employed ( FROM )

Dates Employed ( TO)

Job Title

Supervisor

Hour Rate / Salary ( STARTING - FINAL )

Reason of Leaving

Worked Performed

EMPLOYER 2

Employer

Address

Telephone Number

Dates Employed ( FROM )

Dates Employed ( TO)

Job Title

Supervisor

EMPLOYER 3

Hour Rate / Salary ( STARTING - FINAL )

Reason of Leaving

Worked Performed

Employer

Address

Telephone Number

Dates Employed ( FROM )

Dates Employed ( TO)

Job Title

Supervisor

Hour Rate / Salary ( STARTING - FINAL )

Reason of Leaving

Worked Performed

Special Skills and Qualifications (Summarize special job-related skills and qualifications acquired from employment and other experience.)

File Uploads

Maximum file size: 16.78MB

APPLICANT STATEMENT

I certify that answers given heron are true and complete to the best of my knowledge. I authorise investigation of all statements contained in this application for employment as may be necessary in at an employment decision.

This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organisation is of an "at will" nature, which means that the Employee may resign at any time and Employer may discharge Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless an authorised executive of this organisations specially acknowledges such change in writing.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.

Signature of the Applicant