Personal Information

    Are you authorized to work in the U.S.?
    Have you served in the U.S. military?







    Include all high school, GED, and post high school education.
    + Add School


    Please list employment for the last 7 years.
    + Add Employer


    Add your professional references. Do not include friends or relatives.
    + Add Reference
    What shifts are you available?
    Can you work overtime, including weekends?
    May we contact your current employer?
    What is your gender identity?
    What is your race?
    Which temp agency were you referred by?


    Winpak Heat Seal Corporation is an equal opportunity employer. Winpak does not discriminate in employment on account of race, color, religion, national origin, citizenship status, ancestry, age, sex (including sexual harassment), sexual orientation, marital status, physical or mental handicap unrelated to the ability to perform the job applied for, military status or unfavorable discharge from military service.

    I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for Winpak Heat Seal Corporation to hire me. If I am hired, I understand that either Winpak Heat Seal Corporation or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of Winpak has the authority to make any assurance to the contrary.

    I attest with my signature below that I have given to Winpak Heat Seal Corporation true and complete information on this application. No requested information has been concealed. I authorize Winpak Heat Seal Corporation to perform an employment history check and a reference check concerning my consideration for employment. I authorize all former employers, references, and all other persons, corporations and organizations who furnish such information, to give any information they may have regarding me. I release and indemnify Winpak Heat Seal Corporation, as well as any parties from whom information is obtained, from any liability whatsoever resulting from the investigation and release of this information. If any information I have given to Winpak Heat Seal Corporation is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal.

    I also agree, that if I am offered employment, to submit to medical examinations (including blood work and/or urine samples for testing) by a doctor to be designated by Winpak Heat Seal Corporation, at such time as Winpak may decide. I agree to the examining physician reporting any results that may affect my ability to perform the job for which I have applied. This may include a pre-employment drug/alcohol screen.

    Digital Signature