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Employment App

Please fill out the form below to submit an application for employment.
Twist Inc. is an equal opportunity employer.

Twist Incorporated Application for Employment

Personal Information
Name Present Address
Last: Street:
First: City:
Middle: State:
Other Information Permanent Address
Phone: Street:
Social Security Number: City:
Are you 18 or older? Yes No State:


Referral Information (please select one)
Walk-In
 Greene County Shopper
Employment Office
 Newspaper
Internet Job Posting
 Other
Employee Referral


Employment Desired
Position Applied For:
Date That You Can Start:
Salary Desired:
Are You Currently Employed? Yes No
If You Are Currently Employed May We Enquire of Your Current Employer? Yes No
Have You Ever Applied at Twist Before? Yes No
Have You Ever Been Employed at Twist Before? Yes No
Attach Your Current Resume if You Have One (5mb file size max):


Education
Type Name and Location of School Years Attended? Did You Graduate? Subjects Studied
High School
College
Trade, Business, Technical
Other
* The discrimination in Employment Act of 1967 prohibits discrimination on the basis of age with respect to individuals who are at least 40 but less than 70 years of age.


General
Special Skills, Subjects of Special Study or Research Work
U.S.Military or Naval Service? Yes No
If U.S. Military or Naval Service What was/is Your Rank?
Present Membership in National Guard or Reserves? Yes No


Employment History (List Previous Emplyers Beginning With the Most Recent)
Dates Name and Address of Employer Ending Salary Position Reason For Leaving
From To
From To
From To
From To


References (List Three Persons Not Related to You That You Have Known at Least One Year)
Name Address Business Years Acquainted
If Someone Referred You Who is Currently Employed by Twist, What is His/Her Name?


Physical Record
Do You Have Any Physical Limitations That Preclude You From Performing Any Work For which Your Are Being Considered? Yes No

In Case of Emergency Notify:
Name:
Address
Telephone Number


Terms and Conditions
"I CERTIFY THAT THE FACTS CONTAINED IN THIS APPLICATION ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND UNDERSTAND THAT IF EMPLOYED, FALSIFIED STATEMENTS ON THIS APPLICATION SHALL BE GROUNDS FOR DISMISSAL

I AUTHORIZE INVESTIGATION OF ALL STATEMENTS CONTAINED HEREIN AND THE REFERENCES LISTED ABOVE TO GIVE YOU ANY AND ALL INFORMATION CONCERNING MY PREVIOUS EMPLOYMENT AND ANY PERTINENT INFROMATION THEY MAY HAVE, PERSONAL OR OTHERWISE, AND RELEASE ALL PARTIES FROM ALL LIABILITY FOR ANY DAMAGE THAT MAY RESULT FROM FURNISHING SAME TO YOU.

I UNDERSTAND AND AGREE THAT, IF HIRED , MY EMPLOYEMNT IS FOR NO DEFINITE PERIOD AND MAY, REGARDLESS OF THE DATE OF PAYMENT OF MY WAGES AND SALARY, BE TERMINATED AT ANY TIME WITHOUT ANY PRIOR NOTICE."
I Agree to These Terms and Conditions