(*) Required Fields
If You Do Not Have Previous Employment History Type NONE In Required Fields.
I certify that my answers to the foregoing questions are complete, true and correct without any consequential omissions of any kind
whatsoever. I understand that if I am employed, any false, misleading or otherwise incorrect statements made on this application form or
during any interviews, or any material omission of information on this application form will be grounds for my immediate discharge.
I understand and agree that any offer of employment that I may receive from Lakeside Plastics, Inc. is contingent upon my successful
completion of its total pre-employment screening process.
In processing my application for employment, and, if I am employed, for other employment purposes, Lakeside Plastics, Inc., are hereby
authorized to verify all of the information provided by me, and to procure or have prepared a consumer or an investigative consumer report
for this purpose concerning, among other things, my prior employment or military record, education, character, general reputation, personal
characteristics, criminal record, and mode of living. I hereby release Lakeside Plastics, Inc. and any agent(s) acting on their behalf, from any
and all liability of any nature related to their requesting of such information. I also hereby release any individual or company contacted in
connection with any such verification or investigation process from any and all liability of any nature related to their statements in response
to such questioning, including, but not limited to, any claims of defamation or invasion of privacy.
I understand that Lakeside Plastics, Inc., in compliance with the Immigration Reform and Control Act of 1986, will hire only individuals legally
authorized to work in the United States. I agree to provide proof of my legal ability to work upon an offer of employment.
I agree that, if I am employed, I will abide by all rules and regulations of Lakeside Plastics, Inc. I further understand that unless specifically
agreed to in a written Employment Agreement between Lakeside Plastics, Inc. and myself, that if I become employed by Lakeside Plastics,
Inc., my employment will be "at will", meaning that either party may terminate our employment relationship at any time, with or without cause.
No employee of Lakeside Plastics, Inc. may make any oral representations or oral commitments to the contrary.
I have read and understand this Applicant's Statement and attest that all representations made herein are accurate and complete with no
LAKESIDE PLASTICS, INC. IS AN ISO 9001:2015 CERTIFIED FAMILY OWNED MANUFACTURER OF TRAFFIC SAFETY PRODUCTS, SCREEN PRINTING INKS, & CUSTOM PLASTISOL FORMULATIONS SINCE 1972.