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Stockwell Elastomerics Employment Application

Stockwell Elastomerics offers this online application for those seeking employment. Please complete every applicable field in this job application and submit. Thank you for your interest in jobs at Stockwell Elastomerics.

Applicant Information
Name*
First Middle Last
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Phone
Alternate Phone
Email
Position Applied For
Are you a citizen of the United States?
- Yes
- No
If no, are you authorized to work in the USA?
Do you know someone that is currently employed at Stockwell Elastomerics?
- Yes
- No
If so, who and what is the relationship?
Education
High School
High School Address
High School Dates of Attendance

From, To
Did you graduate high school?
- Yes
- No
Degree
College
College Address
College Dates of Attendance

From, To
Did you graduate college?
- Yes
- No
College Degree
Other Education

(Trade School, Night School, etc.)
Address
Dates of Attendance

From, To
Did you graduate?
- Yes
- No
Degree
Previous Employment
Please provide information about the last 3 companies you worked for, with the most recent employer first.
Company
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Job Title
Supervisor
Dates of Employment

From, To
Responsibilities
Reason for Leaving
May we contact your previous supervisor for a reference?
- Yes
- No
Company
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Job Title
Supervisor
Dates of Employment

From, To
Responsibilities
Reason for Leaving
May we contact your previous supervisor for a reference?
- Yes
- No
Company
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Job Title
Supervisor
Dates of Employment

From, To
Responsibilities
Reason for Leaving
May we contact your previous supervisor for a reference?
- Yes
- No
Additional Questions
What languages do you read and/or write fluently?
May we subject you to a drug test?
Are you aware that we conduct background tests?
Are you over the age of 18? (If NO, you may be required to provide authorization from a parent or guardian.)
Do you have a valid driver’s license? (Needed for driving positions.)
Describe any specialized training, apprenticeships, licenses, or skills that you may have and would like for Stockwell Elastomerics, Inc. to know about.
Is there anything else that you would like to tell Stockwell Elastomerics, Inc. at this time?
Notes

All Shop jobs require candidate to be physically able to lift heavy objects (50 pounds) on a regular, repeated basis, and to move freely (including twisting, bending, kneeling, squatting, etc.)

Stockwell Elastomerics, Inc. is an Affirmative Action employer. Race, color, national origin, sex, sexual orientation, gender identity, religion, age, genetic information, disability, veteran status and any other status protected by applicable law, are not taken into account in any employment decision.
File Attachment
Attach resume, cover letter, and/or other documents.
Drop files here or

Accepted file types: pdf, xls, xlsx, doc, docx, ppt, pptx, jpg, jpeg, gif, tif, png, Max. file size: 17 MB, Max. files: 5.
Phone
This field is for validation purposes and should be left unchanged.

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Stockwell Elastomerics, Inc.

4749 Tolbut Street, Philadelphia, PA 19136

Phone: 215.335.3005

Phone – USA Toll-Free: 800.523.0123

Email: service@stockwell.com

© Stockwell Elastomerics, Inc. All Rights Reserved

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