Employment Application

– Step 1 of 3

Application for Employment

Gardan Inc.
221 Industrial Park Ave Hortonville, WI 54944
920-779-0256

Gardan Inc.
628 W Ryan St Brillion, WI 54110
920-756-9215

Gardan Inc.
1525 Constitution Drive Neenah, WI 54956
920-915-0271

Gardan Inc.
415 County Road S New London, WI 54961
920-779-0256

Notice to Applicant

Gardan Inc. has a long-standing policy of equal opportunity employment. All Gardan employment decisions (including hiring, promotion, training and retention) are made without regard to race, color, religion, national origin, age (over 40), sex, sexual preference, veteran, or marital status. Gardan Inc. will employ and advance in employment qualified disabled persons, whose disability (with a reasonable accommodation, if necessary) does not prevent satisfactory performance of the essential elements of the job.

Date *

Name *

Address *

Address Line 1

City

State

Zip Code

Best Method to Contact

Phone *

Cell

Email *

Position Desired *

Wire Processing Specialist – Full-Time – Hortonville Facility
Quality & Safety Technician – Full-Time – Hortonville Facility
Packing & Kitting Specialist – Full-Time – Hortonville Facility
Technical Assembly Specialist – Full-Time – Hortonville Facility
Light Assembly Specialist – Full-Time – Neenah Facility

Date you can start

Hourly rate/Salary desired *

Are you currently employed?

Availability: *

Full Time
Part Time
Temporary
Summer help

Shift *

Are you available to work overtime?

Are you available to work weekends?

Note: Gardan will attempt to accommodate scheduling limitations based on religious considerations

Are you at least 18 years of age?

Are you legally eligible for employment in the U.S.A.? *

Have you ever been convicted of a felony?

Note: A “yes” answer will not automatically disqualify applicant for consideration. Applicant need not disclose any sealed or expunged records of convictions.

Have you ever worked for Gardan Inc. before?

If yes, what location?

Are you able to perform the essential functions of the job for which you are applying, with or without a reasonable accommodation?

How were you referred to us for employment?

Do you know anyone who works for Gardan?

Have you ever been terminated from employment or asked to resign by an employer?

Employment Record (Show last place of employment first.)

Employer *

Address *

Address Line 1

City

State

Zip Code

Start Date *

Date Left *

Pay at Start *

Pay at Leaving *

Reason for Leaving *

Supervisor *

Phone *

If current employer, ok to contact? *

Position, title and description of duties, responsibilities *

What did you like best about this position?

What did you like least about this position?

List any major accomplishments:

Employer

Address

Address Line 1

City

State

Zip Code

Start Date

Date Left

Pay at Start

Pay at Leaving

Reason for Leaving

Supervisor

Phone

If current employer, ok to contact?

Position, title and description of duties, responsibilities

What did you like best about this position?

What did you like least about this position?

List any major accomplishments:

Employer

Address

Address Line 1

City

State

Zip Code

Start Date

Date Left

Pay at Start

Pay at Leaving

Reason for Leaving

Supervisor

Phone

If current employer, ok to contact?

Position, title and description of duties, responsibilities

What did you like best about this position?

What did you like least about this position?

List any major accomplishments:

Military Service

Have you ever been in the military? *

Branch

From

Principle Duties

Rank at discharge

Education

Type *

Name and Location of School *

Degree/Major Received/In Progress *

Type

Name and Location of School

Degree/Major Received/In Progress

Type

Name and Location of School

Degree/Major Received/In Progress

Type

Name and Location of School

Degree/Major Received/In Progress

Miscellaneous

Enter any other information about prior training, licenses, hobbies, interests, or other life experiences relevant to the position applied for.

Paragraph Text *

References

Please list persons as references with whom you have had a business, educational or training association (do not list relatives).

Name *

Address *

Address Line 1

City

State

Phone *

Email *

Name *

Address *

Address Line 1

City

State

Phone *

Email *

Name *

Address *

Address Line 1

City

State

Phone *

Email *

Resume Upload

File Upload *

Click or drag files to this area to upload. You can upload up to 2 files.

Applicant Certification

1) Any misrepresentations, falsifications, or material omissions in this application for employment or other required documents may result in exclusion from further employment consideration or, if discovered at any time after my employment, termination of that employment.
2) I give Gardan Inc. my permission to contact schools, previous employers, references and others and hereby release Gardan Inc. and any party furnishing information from any liability as a result of such contact.
3) I agree to complete paperwork necessary to authorize credit, background and court record checks if deemed necessary by Gardan Inc.
4) If employed, I must conform to the rules and regulations of Gardan Inc.
5) Nothing contained in this application for employment or in an employment interview is intended to be a contract between Gardan Inc. and me for either employment or employment benefits and if any employment relationship is established, Gardan Inc or I have the right to terminate my employment at any time.
6) I understand that any offer of employment given to me is contingent upon a negative result on a post-offer drug screening and satisfactory post-offer physical examination. I consent to the post-offer physical examination and drug test and such future drug tests as may be required.

Date *

THANK YOU FOR YOUR CONSIDERATION TO BE A PART OF THE GARDAN TEAM!!