Employment

East Polk LLC is an Equal Opportunity Employer. We provide quality and fair pay benefits. We invest in and train the right individuals to be successfull at their jobs. East Polk, LLC is a drug free workplace!

Employment Application

Qualified applicants receive equal consideration.
No question is asked for the purpose of excluding any
applicant due to race, creed, color, national origin,
religion, age, sex, handicap, veteran status, marital status,
sexual orientation, or any other characteristic protected by law.
We are an equal opportunity employer.


First Name:
Last Name: *
Address: *
City: *
State: *
Zip Code: *
Phone: * (no dashes or parenthesis)
E-Mail:
Desired Position:: *
If Other:
Most Recent Employer: *
Start Date: *
End Date: *
Address/City: *
Supervisor Name: *
Supervisor Phone: *
Salary/Wage:
Type of Work: *
Reason for Leaving: *
Name and Location of Last School Attended:
Last Year Completed:
Major Course:
Diploma/Degree:
License or Special Certifications:
Are you legally authorized to work in the United States of America?: *
Are you at least 18 years of age?: *
Briefly describe skills that you may have acquired in recent experience or armed forces:
Have you ever been convicted of a felony?: *
If answered "yes" to above, please explain
Please list experience operating any office machines or equipment:
Please list any experience operating any plant machines or equipment:
Please list any additional skills not mentioned above:
Are you presently employed?
If answered "yes" above, may we contact your current employer?
Current Employer Name:
Current Employer Contact Number:
If hired, what is the earliest date you will be available for work?
Name of Employment Reference(s) familiar with your job qualifications?
Occupation Held:
Reference Phone Number:
Relationship:
How Long?

Invitation to Identify for Affirmative Action Purposes.
East Polk, LLC. is committed to the employment and
advancement of minorities, females, veterans, and
individuals with disabilities. If you fall into one of
these protected classifications, we invite you to
identify yourself and receive coverage under our
company's Affirmative Action Plan. You may
inform us of your desire to benefit under the
program at this time and/or any time in the future.

Please read carefully before
submitting your application.
All information contained in this application is true
and correct to the best of my knowledge and belief.
I understand that misrepresentations or omissions of
any kind may result in denial of employment or because
of subsequent dismissal if I am hired. I authorize the
company to investigate my responses on this application
and contact any former employers or any individuals
familiar with me or my employment background for the
purpose of obtaining any information rather favorable
or unfavorable about me or my employment. I voluntarily
and knowingly fully release and hold harmless any person
or organization that provides information pertaining to me
or my employment. I understand that upon receiving a
job offer, a physical examination and drug screening may
be required. (Note: if this is a job requirement, you will
be notified.) We have a policy of no smoking on the premises
Regardless of whether or not I become employed by the
company, I recognize that this application is not and should
not be considered a contract of employment. I understand
that employment at the company is on an at-will basis and
that my employment may be terminated with or without cause,
and without notice, at any time, at my option or the company's
unless specifically provided otherwise in a written employment
contract. I further understand that no company employee or
representative has the authority to enter into a contract regarding
duration or terms and conditions of employment other than an
officer or official of the company and then only by means of a
signed written document. I further agree that my submission
of this application electronically represents my signature
stating I have read, understand and agree to the above
statement(s).

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