Duraflex Job Application

Join our team

If you would like to join our team here in Reno, please complete the form below and a member of our team will be in touch.

Candidate's Name
Date of application
Address

Telephone number
Your Email
Are you 18 years of age or older?
YesNo
Are you either a U.S. citizen or an alien authorised to work in the U.S.?
YesNo
Have you ever worked or attended school under another name? If so, under what name?
Position desired:
Start date available:
Wage rate desired:
Do you prefer to be paid:
HourlyMonthlyAnnually
Do you prefer:
Full-timePart-time
If Part-time, hours per week desired
Hours you are available to work:
Days of the week you are available to work:
MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Are you able to work:
WeekendsHolidaysNightsOvertime
Have you previously worked for Duraflex International?
YesNo
Dates of employment with Duraflex International:
From: To:
Reason(s) for leaving:
Who was your Supervisor?
How did you learn about this opening?

Graduated
YesNo

Graduated
YesNo

Graduated
YesNo

Graduated
YesNo

Other education, training or special skills
YesNo


Previous Employment


Start Date: End Date:



May we contact them? YesNo


Previous Employment 2


Start Date: End Date:



May we contact them? YesNo


Previous Employment 3


Start Date: End Date:



May we contact them? YesNo



Referee 1






Referee 2






Referee 3






Authorization and Acknowledgements

I affirm that the information I have provided in this application is true to the best of my knowledge, information and belief, and I have not knowingly withheld any information requested. I understand that withholding or misstating any information requested in this application is grounds for rejection of my application, and that providing false or misleading information in this application is grounds for discharge.

I authorize the company to verify my references, record of employment, education record, and any other information I have provided. Unless otherwise noted, I authorize the references I have listed to disclose any information related to my work record and my professional experiences with them, without giving me prior notice of such disclosure. In addition, I release the company, my former employers and all other persons and entities, from any and all claims, demands or liabilities arising out of or in any way related to such inquiry or disclosure.