Varflex Corporation Application Form

  • Applicant Information

  • First Name
  • Middle Initial
  • Last Name
  • Phone
  • E-mail Address
  • Position/Availability

  • Position Applying For
  • Full-Time or Part-Time Work?
  • Shift Availability
  • What days/times are you available to work?
  • Can you work weekends?
  • Can you work overtime?
  • When Can You Start?
  • Personal Information

  • Have you ever worked for Varflex Corporation before?
  • If so, when?
  • Have you ever applied to work for Varflex Corporation before?
  • If so, when?
  • Do you have any friends, relatives, or acquaintances working for Varflex Corporation?
  • If so, who?
  • Do you have a driver's license?
  • If you do not have a driver's license, do you have reliable transportation?
  • If hired, are you willing to submit to and pass a drug test?
  • Are you able to perform the essential functions of the job for which you are applying, either with/without reasonable acommodation?
  • If not, describe the functions that cannot be performed:
  • Note: Varflex Corporation complies with the ADA and consider reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. It is possible that a hire may be tested on skill/agility and may be subject to a medical examination conducted by a medical professional.

  • Have you ever been convicted of a criminal offense (felony or misdemeanor)?
  • If yes, please describe the crime - state nature of the crime(s), when and where convicted and disposition of the case.
  • Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.

  • Education Information

  • High School:
  • Number of Years Completed
  • Did you graduate?
  • Degree/diploma earned:

  • College/University #1:
  • Number of Years Completed
  • Did you graduate?
  • Degree/diploma earned:

  • College/University #2:
  • Number of Years Completed
  • Did you graduate?
  • Degree earned:

  • Number of Years Completed
  • Did you graduate?
  • Certification earned:
  • Special Skills and Qualifications

    List job-related licenses, skills, training, honors, awards, and special accomplishments.

  • Employment History

  • Are you currently employed?
  • If you are currently employed, may we contact your current employer?
  • Below, please describe past and present employment positions, dating back five years. Please account for all periods of unemployment. Even if you have attached a resume, this section must be completed.

  • Employer
  • Telephone Number
  • Supervisor
  • Business Type
  • Start Date
  • End Date
  • Job Title
  • Duties
  • Reason for Leaving
  • May we contact this employer for references?

  • Employer
  • Telephone Number
  • Supervisor
  • Business Type
  • Start Date
  • End Date
  • Job Title
  • Duties
  • Reason for Leaving
  • May we contact this employer for references?

  • Employer
  • Telephone Number
  • Supervisor
  • Business Type
  • Start Date
  • End Date
  • Job Title
  • Duties
  • Reason for Leaving
  • May we contact this employer for references?

  • Military Service

  • Branch
  • Rank at Discharge
  • Total Years of Service
  • Skills and Duties
  • Other Details

  • References

  • First Name
  • Last Name
  • Phone Number
  • Occupation
  • Relationship to Applicant:
  • Number of Years Acquainted

  • First Name
  • Last Name
  • Phone Number
  • Occupation
  • Relationship to Applicant:
  • Number of Years Acquainted

  • First Name
  • Last Name
  • Phone Number
  • Occupation
  • Relationship to Applicant:
  • Number of Years Acquainted

  • EEO-1Voluntary Self Identification Form


    The Equal Employment Opportunity Commission (EEOC) requires all private employers with 100 or more employees as well as federal contractors and first-tier subcontractors with 50 or more employees AND contracts of at least $50,000 complete an EEO-1 report each year. Covered employers must invite employees to self-identify gender and race for this report.

    Completion of this form is voluntary and will not affect your opportunity for employment, or the terms or conditions of your employment. This form will be used for EEO-1 reporting purposes only and will be kept separate from all other personnel records only accessed by the Human Resources department. Please complete this form for submission to the HR department.

    If you choose not to self-identify your race/ethnicity at this time, the federal government requires Varflex Corporation to determine this information by visual survey and/or other available information.

  • First Name
  • Last Name
  • Job Title
  • Date
  • Gender
  • Please choose one of the descriptions below corresponding to the ethnic group with which you identify.

  • Acknowledgements

    Please Read and Initial Each Paragraph, then Sign Below

  • I certify that I have not purposely withheld any information that might adversely affect my chances for hiring. I attest to the fact that the answers given by me are true & correct to the best of my knowledge and ability. I understand that any omission (including any misstatement) of material fact on this application or on any document used to secure can be grounds for rejection of application or, if I am employed by this company, terms for my immediate expulsion from the company.

  • Initials
  • I understand that if I am employed, my employment is not definite and can be terminated at any time either with or without prior notice, and by either me or the company.

  • Initials
  • I permit the company to examine my references, record of employment, education record, and any other information I have provided. I authorize the references I have listed to disclose any information related to my work record and my professional experiences with them, without giving me prior notice of such disclosure. In addition, I release the company, my former employers & all other persons, corporations, partnerships & associations from any & all claims, demands or liabilities arising out of or in any way related to such examination or revelation.

  • Initials
  • Name
  • Please attach a resume if you have one available. Please make sure the file is a PDF, DOC, or DOCX file. Thank you.
    Accepted file types: pdf, doc, docx.
  • This field is for validation purposes and should be left unchanged.