Careers at Grand River

For consideration of employment with Grand River Printing & Imaging, please fill out the form below. Filling out this application may take 15 – 30 minutes. If you have a cover letter and/or résumé, you’ll be able to attach these during the application process.

Thank you,

Management

Basic Information

First Name *
Last Name *
Last Four Digits of Your Social Security Number (SSN) *XXX-XX-????
Phone *(555) 555-5555
Email *name@example.com
ZIP

Home Address

Street Address *
Street Address 2
City *
State *

Position Details

What position are you applying for?Examples: helper, project coordinator, maintenance, etc.
Would you accept full-time work? *Choose one
Yes No
Would you accept part-time work? *Choose one
Yes No
When can you start?Example: 09/01/2011
Have you been employed by Grand River Printing & Imaging before? *Choose one
Yes No
If you have worked here before, approximately when did you leave Grand River Printing & Imaging?Example: 09/01/2010
Are you legally eligible to work in the United States? (proof required) *Choose one
Yes No
Are you of legal age to work in the United States? *Choose one
Yes No
List any special training that would be of special benefit in the job for which you are applying.Languages, machine operation, etc.

Educational Background (list most recently attended first)

School #1

School #1 Name
Course of Study #1General studies, engineering, graphic arts, etc.
Did you graduate from School #1?Choose one
Yes No
Degree/Diploma from School #1High school diploma, associate\'s degree, bachelor\'s degree, master\'s degree, etc.

School #2

School Name #2
Course of Study #2General studies, engineering, graphic arts, etc.
Did you graduate from School #2?Choose one
Yes No
Degree/Diploma #2High school diploma, associate\'s degree, bachelor\'s degree, master\'s degree, etc.

School #3

School Name #3
Course of Study #3General studies, engineering, graphic arts, etc.
Did you graduate from School #3?Choose one
Yes No
Degree/Diploma #3High school diploma, associate\'s degree, bachelor\'s degree, master\'s degree, etc.
Membership in academic, professional, or civic organizations (exclude those which may disclose your race, color, religion, national origin, age, or other protected classification).

Employment Experience (Start with the most recent)

Employer #1

Job Title #1Pressman, helper, project coordinator, etc.
Employer Name #1Please enter the name of the company that employed you if possible.
Employer Address #1
Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Employed From #1Enter your starting date.
Employed Until #1Enter when you stopped working for this employer.
Start Wage at Employer #1Enter your starting pay in this job.
Ending Wage at Employer #1Enter your ending pay in this job.
Who was your supervisor at employer #1?Please provide us with the name of your former supervisor.
Tell us a little about the job at employer #1.Please be brief.
May we contact employer #1 to ask about your performance?Choose one
Yes No

Employer #2

Job Title #2Pressman, helper, project coordinator, etc.
Employer Name #2Please enter the name of the company that employed you if possible.
Employer Address #2
Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Employed From #2
Employed Until #2
Starting Wage or Salary at Employer #2
Ending Wage or Salary at Employer #2
Tell us a little about your job at employer #2.Please be brief.
May we contact employer #2 to ask about your performance?Choose one
Yes No

Employer #3

Job Title #3Pressman, helper, project coordinator, etc.
Employer Name #3Please enter the name of the company that employed you if possible.
Employer Address #3
Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Employed From #3
Employed Until #3
Starting Wage or Salary at Employer #3
Ending Wage or Salary at Employer #3
Tell us a little about your job at employer #3.Please be brief.
May we contact employer #3 to ask about your performance?Choose one
Yes No
Have you ever been fired from a job or asked to resign? If yes, please explain the circumstances.

Personal References (other than family members or previous employers)

Personal Reference #1

Personal Reference #1 NameEnter the full name.
Personal Reference #1 Phone

Personal Reference #2

Personal Reference #2 NameEnter the full name.
Personal Reference #2 Phone

Personal Reference #3

Personal Reference #3 NameEnter the full name.
Personal Reference #3 Phone

Additional Information

Are you subject to any restrictive covenant, non-compete, non-solicitation, intellectual property, or confidentiality agreement which would limit or restrict your ability to work in any way for Grand River Printing? *If yes, please us with provide a copy of any such agreement.
Yes No
Have you ever been convicted, or pleaded guilty or no contest, to any felony? *Choose one
Yes No
If yes, please detail the circumstances.
If you have been given a written job description which includes the essential job functions of the position for which you have applied, are you able to perform each of the essential functions listed for this position with or without accommodation?
Yes No
If you can perform the job functions with an accommodation, please describe how you would perform the functions and with what accommodations.

Cover Letter & Résumé

If you have a cover letter, attach it here.Attach your cover letter.
If you have a résumé, attach it here.

Application Submission Agreement

Thank you for your interest in our company. Please read the statements below and check the appropriate boxes. *
If you are offered employment you will need to pass a drug screening test and a physical exam as it relates to the work you will be performing. If you fail your drug screening test your offer of employment is automatically rescinded.
I understand that the Immigration Reform and Control Act of November 6, 1986 requires me to prove the legality of my residency or citizenship. I am also aware that the failure to provide such proof at the time of request may legally force my termination. To the best of my knowledge the information contained on the application is true. I agree that this application is not an offer of employment.
I agree that if I am employed by the Company
(1) that my contract of employment is at will and may be terminated at any time, with or without notice and with or without cause at the option of either the Company or myself;
(2) that I will receive wages and benefits and be subject to rules and regulations and that such wages, benefits, rules and regulations are subject to change by the Company at any time with or without notice to me;
(3) that in partial consideration for my employment, I shall not commence any action or other legal proceeding relating to my employment or the termination thereof more than six months after the event complained of and agree to waive any statute of limitations to the contrary;
(4) that my assigned work hours may be modified by the Company and if requested, I will be required to work overtime;
(5) that this constitutes the entire agreement between the Company and myself and that any and all prior agreements are null and void, and that nothing in any documents published by the Company, either before or after this agreement, shall in any way modify the above terms;
(6) that this agreement cannot be modified by any oral or written representations made by anyone employed by the Company, either before or after this agreement, except by a written document directed exclusively to me and signed by the Chief Executive Officer of Grand River Printing.
Should any provision of this Application be deemed to be illegal or unenforceable, the provision shall be modified only to the extent necessary to render the provision legal and enforceable and the Application will be construed as if it never contained the illegal or unenforceable provision.
I represent that the information provided above is true and compete to the best of my abilities. I understand that if I provide misleading, false or incomplete information, I will not be eligible for employment and if already employed, will be subject to immediate termination.
I have understood and agree to the above statements and conditions of employment

Verification

Please enter any two digits with no spaces (Example: 12) *