D&L CAREERS

Give employment record as completely as possible listing current or most recent employer first. Show unemployed or self-employed periods and indicate dates and comment on each period. Include part time or summer work.

D&L Tooling & Plastics, Inc. is a safety conscious, drug free company and may require drug testing according to its personnel policy. Having made application for employment at D&L Tooling & Plastics, Inc., I request their representative be informed as to my previous work record. I hereby authorize the investigation of my past employment, whether same is of record or not. I release my former employers and all persons whomsoever, of any damages resulting from furnishing said information. Furthermore, in the event that I am hired by D&L Tooling & Plastics, Inc., I hereby further release them from any liability in providing future information about my work record at D&L Tooling & Plastics, Inc. I understand that this application is neither a guarantee of employment or any employment contract. I certify that the information contained in this application is correct to the best of my knowledge and understand that falsification of this information is grounds for refusal to hire or, if hired, dismissal. I also understand that at some time during the hiring process I may be asked to sign a waiver of confidentiality form regarding my Workers’ Compensation history.