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NOTE: ALL APPLICANTS MUST COMPLETE AN APPLICATION IN FULL EVEN IF THEY SUBMIT A RESUME. APPLICATIONS RECEIVED THAT ARE UNSIGNED OR INCOMPLETE WILL NOT BE CONSIDERED. IF YOU REQUIRE A REASONABLE ACCOMODATION TO COMPLETE THIS FORM OR TO PARTICPATE IN AN INTERVIEW, PLASE LET US KNOW.
Applicant Data
Name*
First Middle Last
Current Address*
Street Address Address Line 2 City State ZIP Code
Home Phone
Work Phone
Cell Phone
Email
If you are under 18 years of age, can you submit a work permit after an offer of employment is made?*
- Yes
- No
- N/A
Can you, within three days of beginning employment, submit verification of both your identity and your authorization to work in the U.S. pursuant to federal law?*
- Yes
- No

Position Desired
Position Applying For*
How were you referred? (Indicate name of source)*
- Advertisement
- Agency
- School
- Walk-In
- PPI Employee
- Other
Referral source*
What are your compensation expectations?
Amount Period
Have you been previously employed by CMG?*
- Yes
- No
When were you previously employed by CMG?*
What type of employment are you seeking?*
- Full Time
- Part Time
- Temporary/Seasonal
When could you start employment?*

Employment History
How many different employers have you worked with in the past 5 years?*
Have you ever been involuntarily terminated or asked to resign from an employer?*
- Yes
- No
Please explain all occurrences:*
Do you have a non-compete agreement currently in force?*
- Yes
- No
May we contact your current employer?*
- Yes
- No
- N/A
May we contact your former employers?*
- Yes
- No

Education

Education

Type	Name	Graduated	Degree Awarded	Actions

There are no Entries.

What special skills, training, or knowledge do you have that will help you qualify for employment?
Special/Technical Skills (please list skills you have and, where appropriate, type of program used or speed.)
- Computer Software
- Computer Hardware
- Industrial Machines
- Other Skills
Computer Software Skills*
Computer Hardware Skills*
Industrial Machine Skills*
Other Skills*

Other Information
Have you ever been convicted or pleaded guilty to a crime that has not been annulled, expunged or sealed by a court?*
- Yes
- No
Please explain:*
Do you have a valid Driver’s License?*
- Yes
- No
Have you ever been bonded?*
- Yes
- No
By which employer(s)?*

Are you acquainted with anyone currently working at CMG?

Name	Relationship	Department	Actions

There are no Acquaintances.

Professional References
Please give the names of three references from your professional or academic life.

References

Name	Relationship	Phone	Actions

There are no References.

Employment Record
List your current or most recent employer first. Include military service and/or periods of self-employment. You must account for your three (3) most recent employers or maximum of five (5) years of your most recent employment history.
Resume
Max. file size: 64 MB.
Would you like to upload a resume? Please do so here.

Employers

Company	Address	Phone	Dates Employed	Actions

There are no Employers.

Periods of Unemployment During the Past Five Years

Please give specific reasons for each time period.

From	To	Reason	Actions

There are no Periods.

Terms and Conditions
Please read and sign
Terms and Conditions*
I have read and fully understand the questions asked in this application. I certify that all of the answers I have given are true, accurate and complete. I understand that the omission and/or misrepresentation of any fact from or on this application or during my interview will result in immediate rejection of my application or if I am hired will be cause for immediate termination of employment.

If hired, I agree to abide by all of the lawful rules and regulations of Piedmont CMG, LLC. I understand and agree that nothing in this application shall constitute an offer, a contract or a guarantee of employment for a specific period of time. If hired, I understand that my employment may be terminated with or without cause and with or without notice at any time, at the will of Piedmont Plastics, Inc. or myself. I further understand that no representative or agent of Piedmont CMG other than the President, Vice President, or Human Resources Director have the authority to enter into any agreement for employment for any specific period of time, or to make and agreement contrary to the foregoing. I also understand that any oral statement or promise to the contrary is not binding to Piedmont CMG, LLC and any agreement modifying the terms or conditions mentioned in this employment application as well as any terms or conditions of employment, including modifying my at-will employment status, must be in writing and signed by the President, Vice President or Human Resources Director. In addition, I understand that Piedmont CMG, LLC shall have the maximum discretion permitted by law to administer, interpret, modify, discontinue, enhance or otherwise change all policies, procedures, benefits or other terms and conditions of employment.

I understand that any hiring decision is contingent upon my successful completion of all Piedmont CMG, LLC lawful pre-employment checks including a criminal background check. I agree to immediately notify Piedmont CMG, LLC; if I should be convicted of or plead guilty to a felony or any crime involving dishonesty, breach of trust, controlled substances, sexual misconduct, abuse or violence, while my application is pending or during my period of employment, if hired. I agree to execute any consent forms necessary for Piedmont CMG, LLC to conduct its lawful per-employment checks.

Piedmont CMG, LLC, makes recruitment, employment, promotional, and all other Human Resource decisions without regard to race, color, religion, national origin, age, sex, disability or veteran status.

This policy applies to all aspects of employment that include but are not limited to hiring, promotion, training, transfers, job assignments, terminations, wage and salary administration, and application of all company policies, procedures, and benefits.
- I agree to the Terms and Conditions
Applicant's Signature*
Print Full Name*
Date*
Phone
This field is for validation purposes and should be left unchanged.

Careers

Applicant Data

Position Desired

Employment History

Education

Other Information

Professional References

Employment Record

Voluntary Self-Identification

Terms and Conditions

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