Employment Application

Employment Application Form – Roaring Spring Water

Employment Application PDF Download

    The Roaring Spring Blank Book Company is an Equal Opportunity employer. In compliance with Federal and State equal opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status, veteran status, sexual orientation, disability, or any other protected group status.
  • Personal Information

    (Proof of eligibility will be required upon offer of employment)
    Applicants for Pennsylvania based jobs should answer this question. (Applicants for West Virginia based jobs should not answer the question.)

  • High School
  • College or University
  • Specialized Training, Trade School, etc.
  • Other Education

    List below all present and past employers over the last seven years, starting with your most recent employer.
  • Employer #1
  • Employer #2
  • Employer #3
  • Employer #4
  • PERSONAL REFERENCES (do not list relatives)

  • Reference #1
  • Reference #2
  • Reference #3
  • APPLICANT CERTIFICATION – Please read carefully and sign below

  • Disclosure to Applicants Concerning Drug/Alcohol Testing
    If you are offered a position with any of the divisions of the Roaring Spring Blank Book Company, (the Company), you will be given a drug/alcohol test as a condition of employment.
    Your refusal to timely submit to a drug/alcohol test or your failure to pass such a test means you will not be employed by the Company.
  • Complete and Accurate Information
    I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I have personally completed this application.
    I understand that any omission or misstatement of material fact on this application, or any document used to secure employment, shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.
  • At-Will Employment
    I understand and agree that if I am employed, my employment will be “at-will” which means that the Company may terminate the employment relationship at any time, with or without cause and with or without notice. This provision may not apply if an employee is covered under a collection bargaining agreement. Likewise, the Company will respect my right to terminate my employment at any time, with or without cause or with or without notice.
  • Testing Authorization
    If offered a position with the Company, I hereby agree to any legally permitted physical, psychological, skill, drug, or medical test required by the Company as a condition of employment. I understand that any offer of employment is contingent upon my participation and successful completion of any required physical or other examination as identified within this application.
  • Investigation Authorization
    I authorize investigation into all statement and references contained in this application.
    This may include credit, driving, criminal background, references and other background checks. By applying for this job, I also authorize post-hire investigation into my credit, driving and criminal background.
  • Company Obligation
    I understand and agree that the Company’s acceptance of this job application does not mean that a position for which I am qualified is open (unless specifically posted) or that the Company has agreed to hire me.
    I understand that the Company is under no obligation to hire me as a result of accepting this completed application.

    It is the policy of Roaring Spring Blank Book Company to provide equal employment opportunity to all employees and applicants for employment without regard to race, color, sex, national origin, religion, sexual orientation, age, disability or veteran status. Likewise, the Company maintains written Affirmative Action Plans for women, minorities, disabled persons and protected veterans.

    This Organization is subject to certain non-discrimination and affirmative action record-keeping and recording requirements which require us to invite job applicants and employees to voluntarily self-identify their race/ethnicity and gender. The information obtained will be kept confidential and may only be used in accordance with the provisions of applicable federal laws, executive orders, and regulation, including those which require the information to be summarized and reported to the federal government for civil rights enforcement purposes.
  • Completion of this sheet is voluntary and is not a requirement for employment.
    If you choose not to self-identify at this time, please be advised that the Federal Government requires this Employer to determine the information asked below by a visual survey and/or other available information, where possible.