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.

 
Personal Data
*required field
First Name*
 Middle
 Last*
Street Address*
 City*
 * Zip Code*
Home Telephone*
 Today's Date
 

Daytime telephone number at which we may contact you *

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 for 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    
Other 

If other, please explain

 
 
Position Preferences  

For what position are you applying? *

Salary desired: $ per hour    week    year 

Schedule desired: Full time     Part time   

If part time, number of hours per week

Are you available to work 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
School Name: *    City: *    *
Degree or # of Years Completed: *   
Grade Point Average: 


College / Graduate School
School Name:     City:    
Degree or # of Years Completed:
Grade Point Average:     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 Employer:
Telephone Number:
Position Title:
Pay Rate:
Duties Included:

City and State:
Supervisor's Name and Title:
Reason for Leaving:
Dates of Employment: From: To:
May we Contact Your Employer: Yes     No

   

Previous Employer:
Telephone Number:
Position Title:
Pay Rate:
Duties Included:

City and State:
Supervisor's Name and Title:
Reason for Leaving:
Dates of Employment: From: To:
May we Contact Your Employer: Yes     No

   

Previous Employer:
Telephone Number:
Position Title:
Pay Rate:
Duties Included:

City and State:
Supervisor's Name and Title:
Reason for Leaving:
Dates of Employment: From: To:
May we Contact Your Employer: Yes     No

  Professional References  

List three people not related to you (include only co-workers or business acquaintances):

 
Name/Relationship
 Title
 Company
 Phone
 
Name/Relationship
 Title
 Company
 Phone
 
Name/Relationship
 Title
 Company
 Phone
 

All hiring and employment at Swanson Health Products is at will. I understand this application is not an employment contract, nor can it be used to create one. Employment by Swanson Health Products has no specific term and may be terminated by the employee or Swanson Health Products with or without notice. I acknowledge that Swanson Health Products has not made any promises or representations that differ from those contained in this paragraph.

I understand I must provide satisfactory documents to establish my identity and right to work in the United States, if I am offered a position with Swanson Health Products, and that failure to provide this evidence will result in the termination of my employment.

I release and agree to hold harmless any individual, company, business institution or government agency from all liability with regard to furnishing information to Swanson Health Products I agree to release and hold harmless Swanson Health Products from all liability with respect to the receipt of such information.

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       Today's Date