Employment Application Form clear form Answer all questions applicable to you and click the submit button at the bottom. (Use the tab key to advance to the next field.) OraLabs Employment Application Title: Employment Application Procedure Number: HR-9202-2, Attachment B Application Information *First Name: Middle Name: *Last Name: *Street Address: *City: *Zip: *Phone: *SSN #: *Date of Birth: *Email Address: *Position Applied For: Shift: 1st (6am to 2:30pm) 2nd (2pm to 10:30pm) 3rd (10:00pm to 6:30am) *Are you a citizen of the United States: Yes No *Gender: Male Female If no, are you authorized to work in the U.S.? Yes No *Have you ever worked for this company?: Yes No If so, when?: *Have you ever been convicted of any crime? : Yes No If so, please explain: *Can you speak English? Yes No *Do you understand English? Yes No * Can you read and write English? Yes No *Are you 18 years old or older? Yes No Education High School Name: City/State: From: To: Did You Graduate: Yes No College Name: City/State: From: To: Did You Graduate: Yes No Degree: Other: City/State: From: To: Did You Graduate: Yes No Degree: Military Service Branch: From: To: Rank at Discharge: Type of Discharge: Previous Employment *Company: Address: *From: *To: Job Title: *Salary: *Reason for Leaving: Company: Address: From: To: Job Title: Salary: Reason for Leaving: Company: Address: From: To: Job Title: Salary: Reason for Leaving: Professional References Name: Relationship: Company: Phone: Name: Relationship: Company: Phone: Name: Relationship: Company: Phone: Resume (optional, not required) Choose your file, then click the gree 'upload' button: Acceptable Format: .jpeg, .jpg, .pdf (max file size of 1.5MB) upload resume By Submitting this application, I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.