Application For Employment We consider applications for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, sexual orientation, citizenship status, genetic information or any other legally protected status. Position Applying For* Name* First Middle Last Email* Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Cell Number*Home Number*How did you learn about us?* Facebook Indeed Advertisement PFC Website Other - please provide detail below Employee Referral - enter name of referral below Please mark at least one.How did you learn about us? Other Employee Referral - name of referral below If you are under 18, can you provide required proof of your eligibility to work?* Yes No Have you ever worked for PFC directly or through a Temporary Employment Agency?* Yes No If you've worked for PFC through a Temporary Employment Agency, which Agency?* Employment Start Date* MM slash DD slash YYYY Employment End Date* MM slash DD slash YYYY Do you have transportation to & from work?* Yes No Are you willing to submit to a pre-employment drug screening?* Yes No Are you willing to undergo a background check, in accordance with local law/regulations?* Yes No Are you prevented from lawfully becoming employed in this country because of Visa or Immigration status?* Yes No Proof of citizenship of immigration status will be required upon employmentDate Available for Work* MM slash DD slash YYYY Employment Type Availability Full Time Part Time Temporary Please mark at least one.Times available to work 1st Shift 2nd Shift 3rd Shift Please mark at least one.EducationHighest level of education completed?* No Diploma High School GED Associate Degree Undergraduate Degree Graduate Professional Name, city, and state of school* Employment ExperienceStart with your present or most recent job as #1. Please include any job-related military service or volunteer activities.Employer #1Employer* Job Title* Employer Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Telephone Number(s)* Start Date* End Date* Hourly Rate/Salary* Reason for leaving*Job Duties*Employer #2Employer Job Title Employer Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Telephone Number(s) Start Date End Date Hourly Rate/Salary Reason for leavingJob DutiesEmployer #3Employer Job Title Employer Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Telephone Number(s) Start Date End Date Hourly Rate/Salary Reason for leavingJob DutiesDescribe any specialized training, apprenticeship, skills, military experience, or other applicable experience?State any additional information you feel may be helpful to us in considering your application:ReferencesReference #1Name* First Last Phone(s)* Relationship* Relationship Type* Professional Personal Reference #2Name First Last Phone(s) Relationship Relationship Type Professional Personal Reference #3Name First Last Phone(s) Relationship Relationship Type Professional Personal Resume UploadAccepted file types: doc, docx, txt, pdf, Max. file size: 50 MB.My electronic signature on this application certifies that all answers given herein are true and complete. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I understand and acknowledge that any false or misleading information given in my application or interview may result in my discharge. I understand and agree that I am required to abide by all rules and regulations of the employer. Employment with PFC is "at-will." This means that you may terminate your employment at any time with or without notice or cause. It also means that PFC can terminate your employment, at any time, with or without notice or cause. Signature* Type your full nameHiddenDate MM slash DD slash YYYY CAPTCHA Δ
