Employment Application

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

To print the application and mail it in, click here.

** APPLICANTS MUST PASS A PHYSICAL AND DRUG TEST WITH OUR DOCTORS **
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

1. 2.
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

Yes No
Yes No Add another employer
SPECIALIZED SKILLS Check Skills/Equipment Operated


ADDITIONAL INFORMATION

EDUCATION
Name & Address of School Years Completed Diploma or Degree?
High school Yes No GED
College Yes No
GraduateProfessional Yes No
Other(i.e. Military) Yes No
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.

Male Female

White Black Hispanic American Indian/Alaskan Asian/Pacific Islander Other

Check If Any Of The Following Are Applicable:

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