Looking for a New Opportunity?
Peterson Career Openings

You may download the PDF Application Form here.

Email your application to PMHR@pmlights.com
If applying for a position as Assembler or Housekeeping, you must complete the Work Keys Assessment with the Missouri Career Center.



Peterson Mfg. Co., Mission Plastics North, Mission Plastics Ark., Maxi-Seal,
Transworld, Kansas City Aviation Center, Vector
APPLICATION FOR EMPLOYMENT
(PRE-EMPLOYMENT QUESTIONNAIRE) (AN EQUAL OPPORTUNITY EMPLOYER)
* Full Time:   Part Time:   Temp/Summer:
DATE:
12/16/2017
* COMPANY: PM:   TW:   Vct:   MS:   MPN:
* NAME (LAST FIRST MIDDLE):
* PRESENT ADDRESS:
* PERMANENT ADDRESS:
* PHONE NO.:
EMAIL ID:
* ARE YOU 18 YEARS OR OLDER?: Yes   No
* ARE YOU EITHER A U.S. CITIZEN OR AN ALIEN AUTHORIZED TO WORK IN THE UNITED STATES?: Yes   No
* CAN YOU READ, WRITE AND SPEAK ENGLISH FLUENTLY?: Yes   No
* POSITION YOU ARE APPLYING FOR:
* DATE YOU CAN START:
* SALARY DESIRED:
* ARE YOU EMPLOYED NOW?:
* IF SO MAY WE INQUIRE
OF YOUR PRESENT EMPLOYER?:
* EVER WORKED FOR A PETERSON COMPANY BEFORE?:
* WHERE?:
* WHEN?:
* WHAT NAME?:
* REFERRED BY:
* RELATIONSHIP:

EDUCATION

GRAMMAR SCHOOL
*NAME AND LOCATION:
*NO OF YEARS ATTENDED:
*DID YOU GRADUATE?:
*SUBJECTS STUDIED:
HIGH SCHOOL
*NAME AND LOCATION:
*NO OF YEARS ATTENDED:
*DID YOU GRADUATE?:
*SUBJECTS STUDIED:
COLLEGE
NAME AND LOCATION:
NO OF YEARS ATTENDED:
DID YOU GRADUATE?:
SUBJECTS STUDIED (DEGREE IN):
TRADE, BUSINESS OR CORRESPONDENCE SCHOOL
NAME AND LOCATION:
NO OF YEARS ATTENDED:
DID YOU GRADUATE?:
SUBJECTS STUDIED:

GENERAL

SUBJECTS OF SPECIAL STUDY OR RESEARCH WORK:
SPECIAL SKILLS:
ACTIVITIES: (CIVIC, ATHLETIC, ETC.) EXCLUDE ORGANIZATIONS, THE NAME OF WHICH INDICATES THE RACE, CREED, SEX, AGE, MARITAL STATUS, COLOR OR NATION OF ITS MEMBERS.:
U.S. MILITARY OR NAVAL SERVICE:
RANK:
PRESENT MEMBERSHIP IN NATIONAL GUARD OR RESERVES:
*The Age Discrimination in Employment Act of 1987 prohibits discrimination on the basis of age with respect to individuals who are at least 40 years of age.

FORMER EMPLOYERS
(LIST BELOW LAST THREE EMPLOYERS, STARTING WITH LAST ONE FIRST).
List periods of unemployment.

EMPLOYER 1
DATE FROM:
Year:
Month:
DATE TO:
Year:
Month:
NAME AND ADDRESS OF EMPLOYER:
SALARY:
POSITION:
REASON FOR LEAVING:
EMPLOYER 2
DATE FROM:
Year:
Month:
DATE TO:
Year:
Month:
NAME AND ADDRESS OF EMPLOYER:
SALARY:
POSITION:
REASON FOR LEAVING:
EMPLOYER 3
DATE FROM:
Year:
Month:
DATE TO:
Year:
Month:
NAME AND ADDRESS OF EMPLOYER:
SALARY:
POSITION:
REASON FOR LEAVING:
EMPLOYER 4
DATE FROM:
Year:
Month:
DATE TO:
Year:
Month:
NAME AND ADDRESS OF EMPLOYER:
SALARY:
POSITION:
REASON FOR LEAVING:
WHICH OF THESE JOBS DID YOU LIKE BEST?:
WHAT DID YOU LIKE MOST ABOUT THIS JOB?:

REFERENCES
GIVE THE NAMES OF THREE PERSONS NOT RELATED TO YOU, WHOM YOU HAVE KNOWN AT LEAST ONE YEAR.

REFERENCE 1
* NAME:
* ADDRESS:
* BUSINESS:
* YEARS ACQUAINTED:
REFERENCE 2:
* NAME:
* ADDRESS:
* BUSINESS:
* YEARS ACQUAINTED:
REFERENCE 3:
* NAME:
* ADDRESS:
* BUSINESS:
* YEARS ACQUAINTED:
* In case of emergency notify (Name, Address, Phone No.):

"I UNDERSTAND THAT A PRE-EMPLOYMENT DRUG TEST MUST BE SUCCESSFULLY COMPLETED BEFORE FURTHER EMPLOYMENT ACTIVITY MAY CONTINUE. IF EMPLOYED, I UNDERSTAND THAT I WILL BE SUBJECT TO DRUG/ALCOHOL POLICIES AND PRACTICES AS ARE OTHER ASSOCIATES. THESE MAY INCLUDE BUT ARE NOT LIMITED TO FOR CAUSE TESTING, RANDOM TESTING AND ANNUAL TESTING. I CERTIFY THAT THE FACTS CONTAINED IN THIS APPLICATION ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND UNDERSTAND THAT, IF EMPLOYED, FALSIFIED STATEMENTS ON THIS APPLICATION SHALL BE GROUNDS FOR DISMISSAL. I AUTHORIZE INVESTIGATION OF ALL STATEMENTS CONTAINED HEREIN AND THE REFERENCES LISTED ABOVE TO GIVE YOU ANY AND ALL INFORMATION CONCERNING MY PREVIOUS EMPLOYMENT AND ANY PERTINENT INFORMATION THEY MAY HAVE, AND RELEASE ALL PARTIES FROM ALL LIABILITY FOR ANY DAMAGE THAT MAY RESULT FROM FURNISHING SAME TO YOU. I UNDERSTAND AND AGREE THAT, IF HIRED, MY EMPLOYMENT IS FOR NO DEFINITE PERIOD AND MAY, REGARDLESS OF THE DATE OF PAYMENT OF MY WAGES AND SALARY, BE TERMINATED AT ANY TIME WITHOUT PRIOR NOTICE AND WITHOUT CAUSE."
If you type your name in the Signature it constitutes a valid signature.
* SIGNATURE:
Leave this form field blank: