Online Application 1 Personal Information2 Education3 Employment History4 Professional ReferencesPosition Applying For:*Name* First Last Phone*Email* Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Shift Availability*1st Shift2nd ShiftEither ShiftHours*Full TimePart TimeAvailable Start Date* Expected Pay Rate*How did you hear about the position?*Are you legally authorized to work in the U.S.?*YesNoHave you ever been convicted of a criminal offense?*Answering “yes” to the following question does not constitute an automatic disqualification of employment. Factors such as date of the offense, seriousness and nature of the violation, rehabilitation and position applied for will be taken into account.YesNoIf yes, please indicate the number of incidents/charges, provide date(s) and details including the nature of the incident(s) and the resolution*Have you ever worked for Fire-Dex?*YesNoWhat were the dates of your employment?*Have you completed the following level of education: High school or equivalent?*YesNoDo you have any sewing experience?*YesNoDescribe your sewing experience:*How many years of sewing experience do you have?How many years of manufacturing job experience do you have?*EDUCATIONHighest Level of Education*Did not complete High SchoolHigh School Graduate or EquivalentSome College, No DegreeTrade/Technical/Vocational TrainingAssociate DegreeBachelor's DegreeMaster's DegreeHighest Grade CompletedName of High School*Higher EducationIf applicable, please provide the following information on any additional training, certificates, or degrees achieved.Name of SchoolDegree/CertificateArea of StudyYears Attended Employment HistoryStarting with your most recent employer, provide the following information on your past 3 positions. MOST RECENT EMPLOYERPrevious Employer's Name*Immediate Supervisor’s Name & Title*Previous Employer's Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Phone*May we contact this employer?*YesNoStart Date* Currently EmployedIf you are still working in this position, choose today as the End Date and check the box below. Still working for this employer.End Date* Job Title*Reason for Leaving*Summary of Job Responsibilities*Starting Wage*Ending Wage*SECOND EMPLOYERPrevious Employer's Name (2)*Immediate Supervisor’s Name & Title*Previous Employer's Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Phone*May we contact this employer?*YesNoStart Date* Currently EmployedIf you are still working in this position, choose today as the End Date and check the box below. Still working for this employer.End Date* Job Title*Reason for Leaving*Summary of Job Responsibilities*Starting Wage*Ending Wage*THIRD EMPLOYERPrevious Employer's Name (3)*Immediate Supervisor’s Name & Title*Previous Employer's Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Phone*May we contact this employer?*YesNoStart Date* End Date* Job Title*Reason for Leaving*Summary of Job Responsibilities*Starting Wage*Ending Wage*ADDITIONAL INFORMATIONSummarize any special training, skills, licenses and/or certificates that may assist you in performing the position for which you are applying and/or list any additional job-related information you would like us to know about you:PROFESSIONAL REFERENCESPlease Note: Professional References cannot be relatives.Professional References*Please provide the following information on 3 professional references. Click the "+" to add the next reference.NameTitleRelationship to YouPhone NumberYears Known DOCUMENT UPLOADAttach FilesIf you would like to upload your resume (strongly encouraged) you can do so here. Drop files here or PLEASE READ AND UNDERSTAND THE POINTS BELOW BEFORE CLICKING SUBMIT: I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to 1) eliminate me from further consideration for employment, or 2) may result in my immediate discharge from the employment of Fire-Dex, LLC whenever it is discovered. I affirm that I have read and understand the above information and that the information I have given Fire-Dex, LLC is accurate and complete.
