Application for Employment

Please read the following  before filling out this application form:

Health Wright Products is an equal opportunity employer and does not discriminate in hiring or employment on the basis of age, race, color, religion, sex, national origin, marital status, veteran status, or disability.

This application will be given every consideration, but its receipt does not imply that the applicant will be employed. If selected for employment, a prospective employee must pass a background check and pre-employment drug screen test.

This application is current for the position in which you are applying. At the conclusion of which time, if you have not been offered employment and still wish to be considered for employment with Health Wright Products, it will be necessary for you to reapply when we are again accepting applications.

Please complete all questions. This application will not be considered if it is not signed.

General Information
   Yes    No
   Yes    No
   Yes    No
   Yes    No
  Walked In  Ad  Current Employee  Job Line  School  State Employment  HWP Website  Other Website  Other
   Yes    No
   Yes    No
  Day Shift 6am-2:30pm Mon-Fri       Swing Shift 2pm-10:30pm Mon-Fri       Night Shift 10pm-6:30am Sun-Thurs       Please check here if this question is not applicable to the job you are applying for     
   Yes    No



Please give the names of three (3) business references who are not relatives.

Reference 1 - required
Reference 2 - required
Reference 3 - required

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Application for Employment Disclaimer

Please read carefully before signing.

I certify that the information provided by me, in this application, is factual and subject to verification. I understand that this is simply an application for employment and does not imply I will be employed. Should any statements made by me to Health Wright Products either in my application or after employed (if employed), be found to be false or misleading in any way, Health Wright Products shall have just and sufficient cause for refusal to hire or, if hired, termination.

In order to verify the information I have presented on this application and in the interview process, I authorize any previous employers, schools, persons and other organizations referenced in this application to provide Health Wright Products with any and all information concerning my previous employment, education, or any other information they might have, personal or otherwise, with regard to any of the subjects covered by this application, and I hereby release all such parties from all liability from any damages which may result for furnishing such information.

Pre-Employment Testing

Pre-employment testing is conducted to determine the applicant's fitness for work at HWP. HWP does not waive any legal rights it has to ask applicants to take any test, verify any information, or to obtain any information to determine fitness for work.

Pre-employment drug testing is a condition of employment. Applicants who refuse to submit to the required testing will not be considered for employment. If a person shows evidence of current use of illegal or illicit drugs, the person will not be employed. Any job offer that may be extended will be contingent upon the successful completion of a pre-employment test.

I certify that the answers given by me to the foregoing questions and during any interviews are true and correct without consequential omissions, and understand that, if employed, omissions and/or falst statements on this application or during any interviews may result in dismissal. I understand and acknolwedge that, if hired, my employment is for no definite period and either the Employer or I may terminate our relationship at will at any time, without notice or any reason, and that this employment application does not constitute an employment contract. I have had an opportunity to have my questions about this statement's content and intent answered and understand its terms. (Application for Employment Disclaimer and Pre-Employment Testing)