Employment Application

Swanson Health Products is an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including age, sex, color, race, creed, national origin, religion, marital status, sexual orientation, political belief or disability. Federal law prohibits the employment of unauthorized aliens. All persons hired must submit satisfactory proof of employment authorization and identity within three (3) days of being hired. Failure to submit such proof within the required time shall result in immediate employment termination.

Please be sure you have completed this application in its entirety. Your opportunity for employment with us will depend upon the completeness and accuracy of your application.

*required field

Personal Data

First Name*: Middle: Last*:

Street Address*: City*: Zip Code*:

Home Telephone*: Today's Date:

Daytime telephone number at which we may contact you:*

Email address:

Have you previously applied with Swanson Health Products?*
Yes     No

If so, when?

Have you ever been employed with Swanson Health Products?*
Yes     No

If so, when?

Are you 18 years of age or older?*
Yes     No

Have you ever been convicted of a felony or misdemeanor other than a traffic violation?*
Yes     No

If so, please explain.

A “yes” answer does not automatically disqualify you from consideration for a position.

How were you referred to SHP?
Employee    
Newspaper    
Radio   
SHP website   
Jobs HQ   
Career Fargo    
Job Service of ND    
College    
Other    

If other, please explain:

Position Preferences

For what position are you applying?*

Salary desired: $ per hour    year 

Schedule desired: Full time     Part time   

If part time, number of hours per week:

Are you available to work: Days    Nights    Weekends 

Could you work overtime?Yes     No

What date could you start work?

Could you travel if required by this position? Yes     No

% of time:

Education

High School

High School Name*:

City*:

State*:

Graduated or GED? Yes No

College / Graduate School

School Name:

City:

State:

Degree Completed? Yes No

GPA:

Major or Subject:

List any professional affiliations to which you belong (please do not list activities which would indicate age, sex, color, race, creed, national origin, religion, marital status, sexual orientation, political belief, or disability):

Previous Employment

List your current or most recent employment first. Include work-related internships, military and volunteer work.

Current or Most Recent Employer:

Telephone Number:

Position Title:

Pay Rate:

Dates of Employment:
From: To:

City and State:

Supervisor's Name and Title:

Reason for Leaving:

May we contact this employer? Yes No

Duties Included:

Previous Employer #2:

Telephone Number:

Position Title:

Pay Rate:

Dates of Employment:
From: To:

City and State:

Supervisor's Name and Title:

Reason for Leaving:

May we contact this employer? Yes No

Duties Included:

Previous Employer #3:

Telephone Number:

Position Title:

Pay Rate:

Dates of Employment:
From: To:

City and State:

Supervisor's Name and Title:

Reason for Leaving:

May we contact this employer? Yes No

Duties Included:

Have you ever been fired from a job? Yes No

If yes explain:

Professional References

  1. Name/Relationship: Title:

    Company: Phone:

  2. Name/Relationship: Title:

    Company: Phone:

  3. Name/Relationship: Title:

    Company: Phone:

Please list any special skills or qualities about yourself that you would like us to be aware of when considering your application:

Please list the earliest and latest times you are available for work:
(Call Center positions require two weekends per month.)

Day

Hours Available

 

In

Out

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Additional comments/conflicts:

Today's Date: 5/19/13

I certify that the information I have furnished on this application form is true and complete. I understand that if any misrepresentation has been made by me verbally or in writing, any offer of employment made to me may be withdrawn or my subsequent employment with Swanson Health Products may be terminated.

I agree I do not agree