Schweitzer Incorporated is an Equal Opportunity Employer. Fill out this form to the best of your ability and click Submit when completed. Please note that this application is lengthy and may not be saved. Make sure you have all required documentation and have time to complete the form.Personal InformationName* First Last Email* Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone Are you 18 years old or older? Yes No Employment DesiredAre You Currently In a Union? Yes No Which One? Are You Employed Now? Yes No May We Inquire Of Your Present Employer? Yes No Can you perform the essential functions of the position in which you seek to be employed without an accommodation? Yes No Can you perform the essential functions of the position in which you seek to be employed with an accommodation? Yes No Describe the accommodation you would need to perform the tasks of the job.Have You Ever Been Employed by Schweitzer Inc. Before? Yes No Dates of Employment with Schweitzer? Have You Ever Applied To Schweitzer Inc. Before? Yes No Where and When? EducationHigh School Name and Location? Did You Graduate? Yes No Number of Years Attended? Did you Attend College? Yes No Name and Location of College? Number of Years Attended? Did you graduate? If yes, list your degree. Did you attend another college? Yes No Name and Location of College? Number of Years Attended? Did you graduate? If yes, list your degree. Did you attend business or trade school? Yes No Name and Location of Business or Trade School? Number of Years Attended? List certifications attained. List any other applicable education courses, certifications, subjects of special study or research work.GeneralAre you a citizen of the United States? Yes No Military Service? Yes No Branch of Service and Rank? Present member in National Guard or Reserves? Yes No Former Employers:List the last three starting with the most recentEmployer 1 Name and Address Dates Employed (Month/Year) - From - To Supervisor Name Position Salary Reason for LeavingEmployer 2 Name and Address Dates Employed (Month/Year) - From - To Supervisor Name Position Salary Reason for LeavingEmployer 3 Name and Address Dates Employed (Month/Year) - From - To Supervisor Name Position Salary Reason for LeavingReferencesGive the names of three persons not related to you, whom you have known at least one year.Reference 1 Name Address Phone Years acquainted Reference 2 Name Address Phone Years acquainted Reference 3 Name Address Phone Years acquainted Have you ever been convicted of a crime, other than minor traffic offenses? Yes No Explain:Are there any felony charges pending against you? Yes No Review and certify"I certify that in order to be employed in a safe work environment free from drug and alcohol abuse, and as an increasing requirement for performing work at various customer facilities, Schweitzer Incorporated performs pre-employment and random drug and alcohol testing. I certify that the information in this application is true and understand that misrepresentations or false or omitted facts may result in my termination, regardless of the time of discovery by the company. I also understand that, if hired, my employment is for no definite period and may be terminated at any time without written notice and that, absent a written contract signed by the President of the company, I will remain an at-will employee and can be terminated at any time without notice. I authorize investigation of the statements contained herein and the references listed above to give you any and all information concerning my previous employment and any pertinent information such references may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing same to you. I understand that if the company decides to engage an investigative consumer reporting agency to report on my credit and personal history, the company will provide me, at my request, with the name and address of the agency so that I can obtain from them the nature and substance of the information contained in the report."EmailThis field is for validation purposes and should be left unchanged.