BLUE MOUNTAIN FLAVORS is an equal opportunity employer. Qualified applicants are considered for employment without regard to race, color, religion, sex, national origin, citizenship status, veteran status, age, disability or protected status. This application will be given every reasonable consideration, but its acceptance by the Company does not imply that you will be employed. 1) DATE OF APPLICATION* MM slash DD slash YYYY 2) DESIRED POSITION (CHECK ALL THAT APPLY)* Quality Assurance (LAB) Research & Development (LAB) Customer Service (Office) Reception/ Secretary (Office) Accounting (Office) Equipment (Maintenance) Facilities (Maintenance) Production Shipping & Receiving Warehousing Janitorial/Housekeeping/Groundskeeping Regulatory/Food Safety/OSHA 3) EMPLOYMENT INTEREST (CHECK ALL THAT APPLY)* Full Time (Monday - Friday 8:00ma-5:00pm) Part Time 4) ARE YOU AVAILABLE TO WORK OVERTIME* Yes (nights after 5pm and weekends) No 5) ARE YOU 18 YEARS OF AGE OR OLDER?* Yes No 6) HAVE YOU BEEN CONVICTED OF A FELONY?* Yes No 6) Offense / Date / County & StateDo You Have A Valid Drivers License?* Yes No DATE AVAILABLE TO WORK:* MM slash DD slash YYYY SALARY REQUIREMENTS:* HOW DID YOU HEAR ABOUT US?* HIGH SCHOOL NAME / LOCATION /COURSE OF STUDYHIGH SCHOOL YEARS COMPLETED COLLEGE NAME / LOCATION / COURSE OF STUDYCOLLEGE YEARS COMPLETED SKILLS / EXPERIENCE*List your skills & work experience.MOST RECENT EMPLOYER 1) POSITION(s) HELD 1) START DATE MM slash DD slash YYYY 1) END DATE MM slash DD slash YYYY 1) EMPLOYER ADDRESS Street Address City 1) EMPLOYER PHONE1) REASON FOR LEAVING 1) MAY WE CONTACT THIS REFERENCE Yes No SECOND EMPLOYER 2) POSITION(s) HELD 2) START DATE MM slash DD slash YYYY 2) END DATE MM slash DD slash YYYY 2) EMPLOYER ADDRESS Street Address City 2) EMPLOYER PHONE2) REASON FOR LEAVING 2) MAY WE CONTACT THIS REFERENCE Yes No THIRD EMPLOYER 3) POSITION(s) HELD 3) START DATE MM slash DD slash YYYY 3) END DATE MM slash DD slash YYYY 3) EMPLOYER ADDRESS Street Address City 3) EMPLOYER PHONE3) REASON FOR LEAVING 3) MAY WE CONTACT THIS REFERENCE Yes No Attach ResumeAccepted file types: doc/docx, pdfcv, Max. file size: 32 MB..doc/docx, .PDF. CVYOUR NAME First Last YOUR ADDRESS* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code YOUR PHONEConsent* I hereby certify that the above statements are true and correct to the best of my knowledge.
