MANUFACTURING COMPANY

P.O. Box 901

Sheboygan Falls, Wisconsin53085-0901 • Phone 920-467-4621

EMPLOYMENT APPLICATION

“AN EQUAL OPPORTUNITY EMPLOYER”

Date

Name Phone No.

LastFirstMiddle Initial

Present Address

No.StreetCityStateZip Code

E-mail Address

How long at above address? Social Security No.

Are there other names under which you have worked or attended school?YesNo

If Yes, please list for reference checking purposes

Are you legally able to work in the U.S.?YesNo

Do you hold a National Career Readiness Certificate (NCRC)? Yes No If Yes, please attach a copy of your certificate.

Have you ever been convicted of a felony or misdemeanor? YesNo

If Yes, explain. (Give date and place of conviction.)

*No applicant will be denied a position because of a past conviction which is not substantially related to the circumstances of the position sought.

Are you under 18 years of age?YesNoIf Yes, please indicate the date of birth

Do you have relatives employed by Bemis?YesNo

If Yes, give names and relationship

NAMES AND ADDRESSES OF SCHOOLS / PLACE AN “X” NEXT TO THE LAST GRADE COMPLETED / DID YOU GRADUATE?
LAST HIGH SCHOOL / 9 10 11 12
JR. COLLEGE, COLLEGE, OR UNIVERSITY / MAJOR SUBJECTS / YRS. COMPL’D / DEGREES / DID YOU GRADUATE?
TECHNICAL OR VOCATIONAL SCHOOL

Shift Preferred:Would You Work:

1stFull time

Position(s) applied for 2ndPart time weekends

(Be specific)3rdPart time weekday

Summer

Were you previously employed by Bemis? If Yes, when?

Have you ever applied for employment with Bemis? If Yes, when?

EMPLOYED
Month & Year / (Give Most Recent
Employer First)
EMPLOYER’S NAME AND ADDRESS / PHONE NO. / NAME OF LAST
SUPERVISOR / YOUR TITLE / JOB DUTIES
OR TASKS / SALARY OR
WAGE / REASON FOR
LEAVING
FROM / TO
Branch / RANK / Years Served/Date of Discharge

List individuals familiar with your job qualifications (no personal friends or relatives).

NAME / PHONE NO. / OCCUPATION:
NAME / PHONE NO. / OCCUPATION

State any additional information you feel may be helpful to us in considering your application or any education or training that would be beneficial to the job for which you are applying.

Please read carefully before signing.

All information contained in this application is true and correct to the best of my knowledge and belief. I understand that misrepresentations or omissions of any kind may result in denial of employment or be cause for subsequent dismissal if I am hired.

I authorize the Company to investigate my responses on this application and contact any current or former employers, any individuals familiar with my employment, educational background, or me. It is for the purpose of verifying any information I have provided and/or for the purpose of obtaining any information, whether favorable or unfavorable, about my employment, educational background, or me. I voluntarily and knowingly fully release and hold harmless any person or organization that provides information pertaining to my employment, educational background, or me.

Regardless of whether or not I become employed by the Company, I recognize that this application is not and should not be considered a contract of employment. I understand that employment at the Company is on an at-will basis and that my employment may be terminated with or without cause, and without notice, at any time, at my option or the Company’s, unless specifically provided otherwise in a written employment contract. I further understand that no Company employee or representative has the authority to enter into a contract regarding duration or terms and conditions of employment other than an officer or official of the Company, and then only by means of a signed, written document.

I understand that the Company requires the successful completion of a drug test as a condition of employment prior to start date. By submitting this Application for Employment, I hereby consent to this test at the Company’s discretion.

Signed by Applicant Date

Thank you for your interest in our Company.

APPLICATION VALID FOR 60 DAYS

Hiring Process at Bemis Manufacturing Company

As part of the hiring process at Bemis Manufacturing Company you will need to complete the National Career Readiness Certificate (NCRC) WorkKeys tests, which consist of Applied Mathematics, Locating Information, and Reading for Information.

Testing for the National Career Readiness Certificate (NCRC) begins with a simple registration process.

(1)IF YOU HAVE ALREADY REGISTERED with the Job Center of Wisconsin website, skip to step 3.

IF NOT, continue to step 2.

(2) IF YOU HAVE NOT REGISTERED:

  • Go to
  • Click onCreate a Logon.
  • Click onJob Seekers, clickMy JCW, then click Register for Services.
  • After you complete Register for Services, contact Job Service Call Center in Step 3.

(3) ContactJob Service Call Centertoactivate your KeyTrain account to practice and schedule your test appointment.

Job Service Call Center: 1.888.258.9966

Keytrain will allow you to practice exam questions and build your skills to prepare for WorkKeys. You can practice through the KeyTrain program at from any internet-accessible computer. You may need to install “Authorware” on your computer in order to access (this is a secure download). Enter your username and password and click on “My Lessons." Next, click on “Introduction to Keytrain” (line 17) and complete this brief introduction to KeyTrain.Begin any of the three KeyTrain Workplace Skills pretests (Applied Mathematics, Locating Information, or Reading for Information) or Applied Technology by clicking on the Pretest you would like to take. Then click the "Start Interactive Lesson."

IR1526

12/23/15 MW