Careers with Tirpok

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Careers
 


Online Employment Application

Incomplete applications will not be considered.
No sensitive information (SS #, Drivers Lic., etc.) is collected by this form. Download this form as PDF

Applicant Information

Name
  First Last MI
Address Apt./Unit    
City State Zip
Phone Email
Position Applied for: Part-time (12-20 hrs) Full-time (>25 hrs) Either
If applying for a part-time position, please list your days and hours of availability:

  Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Available Yes No Yes No Yes No Yes No Yes No Yes No Yes No
Hours
At which of the following locations are you applying:

Flemington Greenwich Clinton Lebanon Milford
Other

  YES NO  
Are you authorized to work in the U.S.?  
If under 18, do you have working papers?  
Have you ever worked for Tirpok? If yes: Position: Dates:
Any family members worked for Tirpok? If yes, who?
Do you have a reliable way to get to work?  
Do you have a valid driver’s license? < Truck Driver applicants only
Have you served in the US Armed Forces?  
Have you ever been convicted of a felony?  
Are you willing to submit to a drug screening test?  
Are you aware of any limitations on your ability to work in a dry cleaning facility? Yes No
  If yes, please explain:

How did you hear about Tirpok's job opportunity?

Education

      YES NO
High School: Graduate:
College: Graduate:
Trade School: Graduate:

Employment History

Company: Phone: (Please enter with area code)

Address: Supervisor:

Job Title: Starting Pay: $ /hour  Ending Pay: $ /hour

Responsibilities:

From: To: Reason for leaving:

May we contact your previous supervisor for a reference? Yes No

 

Company: Phone: (Please enter with area code)

Address: Supervisor:

Job Title: Starting Pay: $ /hour  Ending Pay: $ /hour

Responsibilities:

From: To: Reason for leaving:

May we contact your previous supervisor for a reference? Yes No

 

Company: Phone: (Please enter with area code)

Address: Supervisor:

Job Title: Starting Pay: $ /hour  Ending Pay: $ /hour

Responsibilities:

From: To: Reason for leaving:

May we contact your previous supervisor for a reference? Yes No

 

References

Please list three professional/personal references.

Name: Relationship: Phone:

Name: Relationship: Phone:

Name: Relationship: Phone:

Disclaimer & Signature

By electronically signing this document, I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. I understand that, if I am hired, I will be employed “at-will” and that either Tirpok Cleaners or I can end my employment at any time and for any reason at all, with or without notice.

Electronic Signature: Date: