EMPLOYMENT APPLICATION

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To submit your application please complete the form below. Fields marked with a red asterisk * are required. When you have finished click Submit at the bottom of this form. If you need any assistance in applying for a position with Printronix, Inc, please contact Human Resources at 714-368-2422 and direct assistance will be provided.  


Save time by using your Resume or LinkedIn Profile to fill in many of the fields of this application form.

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Email Registration

 

Your email address will be used as your login name allowing you to return to our website to update your profile. If you do not have an email address, you can obtain a free account at Yahoo. Please make sure that the syntax of your email address is in the following form: username@ispname.com

 

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Resume Attachment

Your resume can be uploaded in any of the following formats: DOC, DOCX, RTF, PDF, TXT, HTML.

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Cover Letter
You can use the text area for a cover letter and any supplementary information you would like to provide about your career goals, availability, best times to contact you, etc.


General Information


Referral Source


 


Are You Legally Eligible For Employment In This Country?

(Proof Of U.S. Citizenship Or Immigration Status Will Be Required Upon Employment)


Have You Ever Been Employed With Printronix Before? If Yes, List Dates And Position.


Have You Ever Applied At Printronix Before? If Yes, When? For What Job?


If Your Job Will Require Operation Of A Vehicle, Do You Have A Valid Driver’s License? If Yes, Indicate Number And State.


Have You Ever Been Convicted Of A Felony? If Yes, Provide Conviction Date and Explanation.

A Conviction May Be Relevant If Job Related, But Will Not Necessarily Disqualify You From Employment.

Employment Data

List All Jobs Starting With Most Recent, During The Last Ten Years, Including Periods Of Self-Employment And Unemployment.

Employers:

Responsibilities and Duties


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Education:


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References Instructions

Name (3) former managers or supervisors we may contact who have knowledge of your performance and work experience. We will notify you before we call these references.  


References:






Voluntary Self-Identification Information

Completion of this information is voluntary and is not a requirement. This information will in no way affect the decision regarding your application. This information will be kept confidential.

Voluntary Self-Identification of Disability

Form CC-305

OMB Control Number 1250-0005

Page 1 of 1

Expires 05/31/2023


 
Format: MM/DD/YYYY

(if applicable) 

Why are you being asked to complete this form?

We are a federal contractor or subcontractor required by law to provide equal employment opportunity to qualified people with disabilities. We are also required to measure our progress toward having at least 7% of our workforce be individuals with disabilities. To do this, we must ask applicants and employees if they have a disability or have ever had a disability. Because a person may become disabled at any time, we ask all of our employees to update their information at least every five years.

Identifying yourself as an individual with a disability is voluntary, and we hope that you will choose to do so. Your answer will be maintained confidentially and not be seen by selecting officials or anyone else involved in making personnel decisions. Completing the form will not negatively impact you in any way, regardless of whether you have self-identified in the past. For more information about this form or the equal employment obligations of federal contractors under Section 503 of the Rehabilitation Act, visit the U.S. Department of Labor's Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp.


How do you know if you have a disability?

You are considered to have a disability if you have a physical or mental impairment or medical condition that substantially limits a major life activity, or if you have a history or record of such an impairment or medical condition. Disabilities include, but are not limited to:

• Autism• Deaf or hard of hearing• Missing limbs or partially missing limbs
• Autoimmune disorder, for example, lupus, fibromyalgia, rheumatoid arthritis, or HIV/AIDS• Depression or anxiety• Nervous system condition for example, migraine headaches, Parkinson's disease, or Multiple sclerosis (MS)
• Blind or low vision• Diabetes• Psychiatric condition, for example, bipolar disorder, schizophrenia, PTSD, or major depression
• Cancer• Epilepsy
• Cardiovascular or heart disease• Gastrointestinal disorders, for example, Crohn's Disease, or irritable bowel syndrome
• Celiac disease• Intellectual disability
• Cerebral palsy
 

Please Select one of the options below :

   

PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5 minutes to complete.

For Employer Use Only

Employers may modify this section of the form as needed for recordkeeping purposes.

For example:

Job Title: _______________

Date of Hire: _______________


 
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As An Equal Opportunity Employer, It Is The Policy Of PRINTRONIX, INC. To Recruit, Hire, And Promote Into All Job Classifications Without Regard To Race, Color, Creed, Ancestry, Religion, Gender, Age, National Origin, Physical Or Mental Disability, Medical Condition, Marital Status, Sexual Orientation, Disabled Veteran, Veteran, Or Veteran Of The Vietnam Era.