Lamb & Associates Packaging, Inc.

    1700 Murphy DriveMaumelle, Arkansas 72113Phone (501) 851-0800Fax (501) 851-6315www.lambpackaging.com

    An Equal Employment Opportunity Employer

    IMPORTANT NOTICE: This application for employment will become void and not considered after thirty (30) days from the date of application.

    INSTRUCTIONS: All questions and other requests for information must be answered. If more space is required to answer a question or provide information, please use a separate sheet. Please print using dark blue or black ink, read carefully, and make sure that you date and sign the last page.

    PERSONAL INFORMATION

    EMPLOYMENT HISTORY

    List below all present and past employment (full-time, part-time and self-employment) beginning with your most recent position.





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    4

    UNEMPLOYMENT RECORD

    Account for all periods of unemployment of four (4) weeks' duration or more since you left high school until the present time.

    FROM

    TO

    STATE BELOW WHAT YOU WERE DOING DURING THE PERIODS IN WHICH YOU WERE UNEMPLOYED

    MONTH

    YEAR

    MONTH

    YEAR

    EDUCATION

    Name of School

    Street Address

    City/State

    Year(s) completed

    Did you graduate?

    Last year attended

    Grade Point Average

    Course of study

    List below the names of three (3) professional and personal references who Lamb & Associates may contact.

    Important: Read the following paragraphs very carefully before you date and sign below.

    I certify that the answers given by me to the foregoing questions and statements are true and complete to the best of my knowledge, and I have withheld nothing that would, if disclosed, affect this application unfavorably. I authorize the persons and organizations named above to give and disclose to Lamb & Associates any information regarding my employment, character and qualifications, together with any information they may have regarding me, whether or not it is in their records. I hereby release said companies, schools or persons, as well as Lamb & Associates from any and all liability for any damage flowing from the issuing or disclosure or this information. I understand that any misleading or incorrect statements may render this application void, and if employed, would be cause for termination whenever disclosed by Lamb & Associates.

    All employment offers are made contingent upon satisfactory proof of legal authorization to work in the United States according to the law. I understand that failure to provide satisfactory proof of identity and authorization to work in the United States will disqualify me from employment.
    I understand, that if hired, I may be required to undergo a physical examination and/or drug and alcohol screening test if:

    1) I should become involved in an accident while on duty, on company premises, on job sites, or in a company vehicle;

    2) If a reasonable suspicion of drug or alcohol use exists based on my performance, appearance, and/or behavior. The examination and test will be performed at the employer's expense, by the employer's choice of physician.

    I understand that I will be required to satisfactorily pass a pre-employment drug screening and may be required to take a pre-employment physical examination. The exam and test will be performed at the employer's expense, by the employer's choice of physician and testing facility.

    I authorize Lamb & Associates to release or disclose to other prospective employers any information regarding my employment with Lamb & Associates or the information set forth in this application or gained by Lamb & Associates from other companies, schools or persons named in this application, and to give out any information regarding my employment, character, qualifications, and information they may have regarding me, whether or not it is in their records. I hereby release Lamb & Associates from any and all liability for any damage flowing from issuing this information.

    I acknowledge that Lamb & Associates reserves the right to inspect all property (including cars, purses, lockers, desks, lunch boxes, packages and other containers) on Lamb & Associates premises and property and, if employed, I agree to cooperate with such inspections as a condition of continued employment. I also agree that Lamb & Associates has permission to photograph me while on Lamb & Associates property and in the course of my duties off Lamb & Associates property, and to utilize these photographs in furtherance of Lamb & Associates business.

    I acknowledge that, if employed by Lamb & Associates, my employment and compensation is for an indefinite period of time and can be terminated, with or without cause, and with or without notice, at any time, at the option of either Lamb & Associates or myself.I understand that no representative of Lamb & Associates, other than the Lamb & Associates Board of Directors, has any authority to enter into any agreement for employment for any specific period of time or to make any agreement contrary to the foregoing, and then only if such commitment is in a written document signed by the Lamb & Associates Board of Directors. If employed, I further agree that Lamb & Associates may, at any time, make unilateral changes in any of its policies, practices, rules, procedures, compensation and benefits provided to employees.

    This application for employment will not be considered after thirty (30) days from the date below or if I accept a position with another employer.