Job Application: Packer

Easypak is an equal opportunity employer and affords equal opportunity to all applicants for all positions without regard to race, color, religion, gender, national origin, age, disability, veteran status or any other status protected under local, state or federal laws.

Title: Packer

Fields marked with an asterisk (*) must be filled out before submitting.

Personal Details

First Name *
Last Name *

Contact Details

Address *
City *
State *
Post code *
Country *
Primary Telephone *
Secondary Telephone
Email Address


How did you hear about us?
Are you legally eligible to work in the United States? * Yes
(Proof of eligibility will be required upon offer of employment as required by the Immigration and Reform Act of 1986)
Are you over the age of 18 years? Yes
Have you ever worked for EasyPak before? Yes
If yes to the above, please give a date
Were you ever discharged by any company? Yes
If yes to the above, name company and reason for discharge.


On what date would you be available to work?
Shifts available to work Mon–Fri, 1st: 6:30am–3pm
Mon–Fri, 2nd: 2:30pm–11pm
Mon–Fri, 3rd: 10:30pm–7am
Mon–Fri, Day: 8:00am–5pm
Fri–Sun, 1st: 7:00am–7pm
Fri–Sun, 2nd: 7:00pm–7am
Sat–Mon, 1st: 7:00am–7pm
Sat–Mon, 2nd: 7:00pm–7am


Do you have a degree? Yes
Where did you complete your degree?
Title of your degree
Please list any academic honors, scholarships, offices held, etc. (Do not list any which reflect your race, color, religion, gender, national origin, age, disabilities or veteran status.)
Academic Distinctions

Military Service

Branch of Service
Technical Specialization
Rank Attained
Have you received any job-related training in the United States Military? Yes
For the above, please give dates and explanation


Describe any specialized training, apprenticeships, licenses or skills.

Employment History

Begin with current or most recent employer. Do not exclude any employment. Include any applicable temporary employment. Previous salaries or wages will not be used to determine compensation.
Employment History
Upload your resume


Please list three persons, who are not related to you or previous supervisors, who can provide professional references. Do not list relatives. Include full names, phone numbers, type of relationship, and years known.
First Reference
Second Reference
Third Reference



I hereby certify that all of the information provided by me in this application (or any other accompanying or required documents) is correct, accurate and complete to the best of my knowledge. I understand that the falsification, misrepresentation or omission of any facts in said documents will be cause for denial of employment or immediate termination of employment regardless of the timing or circumstances of discovery.

I understand that submission of an application does not guarantee employment. I further understand that, should an offer of employment be extended by Easypak (hereinafter referred to as “COMPANY”) that such employment with COMPANY is at will, for no specified duration and may be terminated by either COMPANY or myself at any time, with or without cause or notice. I understand that none of the documents, policies, procedures, actions, statements of [COMPANY] or its representatives used during the employment process is deemed a contract of employment real or implied. I understand that no representative of COMPANY except the President has the authority to enter into any agreement guaranteeing any conditions of employment or any agreement contrary to the foregoing statements and that any such agreements must be made in writing and signed by the President of COMPANY.

In consideration for employment with COMPANY, if employed, I agree to conform to the rules, regulations, policies and procedures of COMPANY at all times and understand that such obedience is a condition of employment. I understand that due to the nature of COMPANY business, attendance and punctuality are considered essential requirements of every job at COMPANY and that poor attendance or tardiness will result in disciplinary action.

I understand that if offered a position with COMPANY, I may be required to submit to a pre-employment medical examination, drug screening and background check as a condition of employment. I understand that unsatisfactory results from, refusal to cooperate with, or any attempt to affect the results of these pre-employments tests and checks will result in withdrawal of any employment offer or termination of employment if already employed.

I herby authorize any and all schools, former employers, references, courts and any others who have information about me to provide such information to COMPANY and/or any of its representatives, agents or vendors and I release all parties involved from any and all liability for any and all damage that may result from providing such information.

I understand that this application is considered current for three months. If I wish to be considered for employment after this period I must fill out and submit a new application.

Acknowledgement and Authorization * I acknowledge that I have read, understood and agree to the above statements.
Name of person completing this form if other than applicant