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English Application

Serving Growers Since 1972

Thank you for applying with DREXEL CHEMICAL COMPANY. This application will be considered active only until the position for which is has been submitted is filled. Any applicant wishing to be considered for employment other than the position applied for should inquire as to when applications are being accepted and reapply. DREXEL CHEMICAL COMPANY does not discriminate on the basis of race, gender, national origin, age, religion, disability, veteran status, or sexual orientation.

IMPORTANT: Filling out the submission form completely and including as much work history as possible increases your chance at a call back for consideration of employment.

    PERSONAL INFORMATION

    Position Applied For

    Salary Expected

    Per HourPer Year

    EMPLOYMENT QUESTIONNAIRE

    Are you legally entitled to work in the United States?
    YesNo

    How were you referred to our company?

    Can you perform the essential functions of the position for which you have applied?
    YesNo

    If not, please explain:

    Have you ever been convicted of a crime, excluding misdemeanors and summary offenses, in the past ten years which has not been annulled, expunged, or sealed by a court?
    YesNo

    If so, please describe in full:

    Have you ever applied to work with our company before?
    YesNo

    If so, when?

    Have you ever worked for our company before?
    YesNo

    If yes, when and at what location?

    Can you work overtime?
    YesNo

    On what date would you be available to work?

    EDUCATION
    (Please list all schools attended. Circle The Highest Level Completed)

    High School
    9101112

    High School (School Name and Address)

    Number of years attended

    Did you receive a diploma?
    YesNo

    College
    12345+

    College (School Name and Address)

    Number of years attended

    Degree (if applicable)

    Major

    Graduate (School Name and Address)

    Number of years attended

    Degree (if applicable)

    Major

    Other (School Name and Address)

    Number of years attended

    Degree (if applicable)

    Major

    List any other training and skills that you feel are relevant to the position for which you are seeking

    MILITARY RECORD

    Are you a veteran of U.S. military service?
    YesNo

    If so, what branch?

    Dates of Active Service
    Start

    End

    EMPLOYMENT RECORD (List most recent position first)

    Employer Name

    Employer Address

    Start Date

    End Date

    Job Title

    Salary

    Telephone Number

    Supervisor Name

    May we contact?
    YesNo

    Reason for leaving

    Employer Name

    Employer Address

    Start Date

    End Date

    Job Title

    Salary

    Telephone Number

    Supervisor Name

    May we contact?
    YesNo

    Reason for leaving

    Employer Name

    Employer Address

    Start Date

    End Date

    Job Title

    Salary

    Telephone Number

    Supervisor Name

    May we contact?
    YesNo

    Reason for leaving

    Employer Name

    Employer Address

    Start Date

    End Date

    Job Title

    Salary

    Telephone Number

    Supervisor Name

    May we contact?
    YesNo

    Reason for leaving

    Please list all periods of unemployment exceeding three (3) months

    I CERTIFY THAT THE INFORMATION CONTAINED IN THIS APPLICATION IS CORRECT TO THE BEST OF MY KNOWLEDGE, AND UNDERSTAND THAT PROVIDING FALSE INFORMATION ON THIS APPLICATION OR OMISSION OF CLEARLY RELEVANT INFORMATION IS GROUNDS FOR DISQUALIFICATION FROM FURTHER CONSIDERATION OR FOR DISMISSAL OF EMPLOYMENT. I UNDERSTAND THE DREXEL CHEMICAL COMPANY MAY CONTACT BY PREVIOUS EMPLOYERS TO VERIFY ANY INFORMATION CONTAINED IN THIS APPLICATION, AND RELEASE DREXEL FROM ANY LIABILITY WHATSOEVER THAT MIGHT BE INCURRED IN OBTAINING THIS INFORMATION. I AGREE TO CONFORM TO THE RULES AND REGULATIONS OF THE COMPANY, AND UNDERSTAND THAT MY EMPLOYMENT CAN BE TERMINATED, WITH OR WITHOUT CAUSE, AND WITHOUT OR WITHOUT NOTICE, AT ANY TIME, AT THE DISCRETION OF EITHER THE COMPANY OR MYSELF.

    Signature
    Click to accept Signature

    Date

    By applying for a job with Drexel Chemical Company, you agree that we may use your personal data for employment purposes. Providing your personal data to Drexel Chemical Company is voluntary. If, however, you do not provide all of the data that is requested in your application, our ability to consider you for employment may be limited. REV. 1/2020