Personal Information:

First Name        

Middle Name    

Last Name        

E-mail Address

Address            

City                    

State                  

Zip Code           

Phone Number 

Social Security Number  

Employment Desired:

Position             

Salary Desired 

Are you employed now?   -SELECT FROM LIST- YES NO

Have you ever applied for employment with Meridian Products before?  -SELECT FROM LIST- YES NO

If "YES" to answer above, then when? 

Have you ever worked for Meridian Products?   -SELECT FROM LIST- YES NO

If "YES" to answer above, then when? 

Choose work status desired:  -SELECT FROM LIST- FULL TIME PART TIME TEMPORARY/SUMMER

If Part Time, number of hours desired (per week): 

Are you available to work overtime?     -SELECT FROM LIST- YES NO

Are you available to work weekends?  -SELECT FROM LIST- YES NO

Please check shifts desired below (if either is okay, please check both):

AM Shift:  Mon.-Thurs. 6:30 AM - 4:00 PM and Friday 6:30 AM - 10:30 AM

PM Shift:  Mon.-Thurs. 7:30 PM - 6:00 AM

Date that you could start work:

Driving History (answer driving history questions only if applying for a driving-related position):

Do you currently have a valid driver's license?        -SELECT FROM LIST- YES NO

If "YES" to answer above, in what State or Country? 

License Class  

Restrictions      

Have you had your driver's license suspended or revoked in the past 3 years?   -SELECT FROM LIST- YES NO

If "YES" to answer above, please explain: 

Employment History (most recent employer first; account for all periods of time, including military service):

Name of Employer 

Address                   

City                           

State                         

Zip Code                  

Phone Number        

Supervisor's Name          

Reason for Leaving:      

Job Title                   

Employment dates:  From:                      To: 

Salary:                       Starting:          Ending: 

Describe Duties:   

Name of Employer 

Address                   

City                           

State                         

Zip Code                  

Phone Number        

Supervisor's Name          

Reason for Leaving:      

Job Title                   

Employment dates:  From:                      To: 

Salary:                       Starting:          Ending: 

Describe Duties:   

Name of Employer 

Address                   

City                           

State                         

Zip Code                  

Phone Number        

Supervisor's Name          

Reason for Leaving:      

Job Title                   

Employment dates:  From:                      To: 

Salary:                       Starting:          Ending: 

Describe Duties:   

May we contact your present employer?  -SELECT FROM LIST- YES NO

May we contact all other employers?        -SELECT FROM LIST- YES NO

References (list the name, address and phone number of any 3 references that we may contact, please do not include relatives):

Education and Training:

High School or GED name and location:     

Number of years completed:   

Diploma, Degree, Certificate: 

Major: 

College/University name and location:          

Number of years completed:   

Diploma, Degree, Certificate: 

Major: 

Vocational or Technical name and location:  

Number of years completed:   

Diploma, Degree, Certificate: 

Major: 

Other Education or Training:                            

Number of years completed:   

Diploma, Degree, Certificate: 

Major: 

What skills or added training do you have related to the job for which you are applying? 

What equipment or machines can you operate related to the job for which you are applying? 

General Information:

Are you 18 years of age or older? -SELECT FROM LIST- YES NO

Are you authorized to work in the United States?  -SELECT FROM LIST- YES NO

Note:  Proof of citizenship or immigration status will be required upon employment. 

Please Note:  In addition to this online application, you must complete our full application prior to any employment decision. You agree that if hired, your employment will be subject to all employment policies of Meridian Products, as well as terms and conditions of employment. See Human Resources at Meridian Products for details. Thank you for applying!