Please Complete This Form to Submit a

Employment Application

Phillips Companies is an Equal Employment Opportunity (EEO) employer.

To print the application and mail it in, please use the pdf version below.

Print PDF Version


Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status, or the presence of non-job related medical conditions or handicap.

Background Information
Personal Information
Drivers' License Information

Give name, address, and phone number of two (2) references who are not related to you and are not former employers.

Employment Experience

Start with your present or most recent job. Account for all time periods including military service, unemployment, and volunteer activities. Exclude organizational names which indicate race, color, religion, creed, sex or national origin.

Employer #1

Employer #2

Employer #3

If you have more employers to report, complete and submit this form then contact Phillips Companies directly.

Specialized Skills

Additional Information
High school
Graduate Professional
Other (i.e. Military)
Employment Data Record

Employees are treated during employment without regard to race, color, religion, sex, national origin, age, marital or veteran status, medical condition or handicap, or any other legally protected status.As an employer with an Affirmative Action Program, we comply with government regulations, including Affirmative Action responsibilities where they apply.The purpose for this Data Record is to comply with government record keeping, reporting, and other legal requirements. Periodic reports are made to the government on the following information. The completion of this section is required by Equal Employment Opportunity Company (EEOC) guidelines. This data will be kept in a confidential file and is not considered as part of your application for employment.

This portion of the application is not required, voluntary only.

When you click the "Send" button you will be sending all the information from this page in an email to Phillips Companies. If your information is acceptable, an associate will contact you as soon as possible.