To apply, please fill out and submit this form.

If you would like to physically print a form and mail it in, you may download a PDF version of the application below and mail it to:

Nicolet Plastics, Inc.
ATTN: Human Resources
16685 State Road 32
Mountain, WI 54149

[ Download EmploymentApplication.pdf (107kb) ] 

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Personal Information
First Name:
Middle Initial:
Last Name:
Address:
Address Line 2:
City:
State:		AL AK AR AZ CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY       Zip:
Home Phone:
Cell Phone:
Email Address:
General Information
1. Have you ever applied for a job with this company in the past? If yes, please give the date of application and the position for which you applied. State your name at that time, if different from present name.
		Yes     No
2. Have you ever been employed by this company in the past? If yes, please give dates of employment, position held, and state your name while employed if different from present name.
		Yes     No
3. If hired, will you be able to work during the normal days and hours required for the position(s) for which you are applying?
		Yes     No      If no, explain below:
4. Do you have any commitments to another employer that might affect your availability for employment with our company?
		Yes     No     If yes, explain below:
5. If hired, can you furnish proof that you are 18 years of age, or if under 18, do you have a permit to work?
		Yes     No      If no, explain below:
6. If hired, can you furnish proof that you are eligible to work in the United States? (If unsure of the documents needed to prove eligibility to work in the U.S., we will be happy to explain the legal requirements.)
		Yes     No      If no, explain below:
7. Do you now, or will you in the future, require Nicolet Plastics, Inc. to sponsor an employment visa for your continued employment?
		Yes     No
8. Have you been convicted of a felony, or released from prison in the past 10 years? Note: A yes answer does not automatically disqualify you from employment since the nature of the offense, date, and type of job for which you are applying will be considered.
		Yes     No      If yes, explain below:
9. Are you charged with an unresolved criminal charge (have you been charged with a crime that has not yet resulted in a plea of guilty, court trial, or dropping of the charge)? Note: A yes answer will not automatically disqualify you from employment.
		Yes     No      If yes, explain below:
10. Are you able to perform the tasks listed in the position description with or without an accommodation?
		Yes     No
11. If necessary, what accommodation could we make that would allow you to perform the essential functions of the job?
Employment Desired
Position:		Select One AnyShipping PersonnelOffice ClericalToolmakerMaintainence TechnicianDesign TechnicianQuality TechnicianOther
Available to Start:		Select One Immediately One Week Two Week Three Week Four Week Other
Desired Pay:
Employment History
Most Recent Employer:
Employer Name:
Position:
Dates:		to:
Reason for Leaving:		Select One Quit Terminated Layed Off Plant Closing Education Self Employed Other Still Employed
Job Duties:
Previous Employer:
Employer Name:
Position:
Dates:		to:
Reason for Leaving:		Select One Quit Terminated Layed Off Plant Closing Education Self Employed Other Still Employed
Job Duties:
Please account for any time you were not employed after leaving school in the last ten years. You do not need to list any periods of less than 1 month.
References
Name:
Relationship:
Phone Number:
Name:
Relationship:
Phone Number:
Name:
Relationship:
Phone Number:
Educational Background
Please tell us about your educational background
Additional Education
Please tell us about job-related seminars, short courses, workshops or other educational experiences you have attended:
Special Skills
Please list any job-related special skills or training...
Other Job Related Experience
Some people gain job-related experience in positions other than as an employee. For instance, an accountant may gain experience as a treasurer of a civic or school organization, or a manager may gain experience while working on civic projects, or in school organizations, or in PTA activities. Please list and describe any paid or unpaid activities, honors, experience, or training that might aid you in performing the job(s) for which you have applied, and have not been listed previously in this application. (You may omit any activities, honors, memberships or other items that tend to identify your race, sex, national origin, age, disability or other personal traits that you prefer not to disclose.)
Additional Information
Please add any additional information (except that which identifies your race, sex, age, religion, national origin, disability or other non-job- related personal information) that you think may be relevant to a decision to hire you.
Your Resume
Please attach your resume using the button below
Submit
PLEASE READ CAREFULLY AND CHECK EACH PARAGRAPH BEFORE SUBMITTING
By checking this item and submitting this form, I promise that the information provided in this employment application (and accompanying resume, if any) is true and complete, and I understand that any false information or significant omissions may disqualify me from further consideration for employment, and may be justification for my dismissal from employment by Nicolet Plastics, Inc., if discovered at a later date. I agree to immediately notify Nicolet Plastics, Inc. if I should be convicted of a felony, or any crime involving dishonesty or a breach of trust while my job application is pending, or during my period of employment, if hired.
I authorize any person, school, current employer (except as previously noted), past employer(s), government or investigative agencies, and other organizations that may be named in this application form (and accompanying resume, if any) to provide the company with relevant information and opinion that may be useful to Nicolet Plastics, Inc. in making a hiring decision, and I release such persons and organizations from any legal liability in making such statements.
I understand that, if hired, I may not hold other employment, nor engage in consulting, sales, investments or other activities that may create a conflict of interest with Nicolet Plastics, Inc.
I understand that if employed and my employment is terminated by Nicolet Plastics, Inc. for dishonesty, breach of trust, or any criminal acts, the authorities may be notified and I may be criminally prosecuted.
I understand that this application does not, by itself, create a contract of employment. I understand and agree that, if hired, my employment is for no definite period of time, and may, regardless of the date of payment of my wages or salary, be terminated at any time. I understand that only the President of Nicolet Plastics, Inc. is authorized to change any of the terms of employment and that any changes must be specific and in writing.

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