Master Creation Technologies Application Form Name* First Middle Last Date* Month Day Year Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Phone*Email* Job position that you are applying for:* Are you available to work:* Full Time Part Time Temporary What shift? Are you legally authorized to work in this country on a permanent basis?*Proof of immigration status may be required upon employment Yes No If no, what type of Visa do you have? Are you under 18 years of age?* Yes No Can you furnish a work permit? Yes No Have you filed an application here before?* Yes No If yes, give date: Month Day Year Have you ever been employed here before? Yes No If yes, give date: Month Day Year EMPLOYMENT HISTORY: (List present or most recent employer first)*list one employer per row; click the + icon to add rowsStart DateEnd DateEmployer(s)’ Name, Address, and Phone NumberWhat did you do?Reason for Leaving Educationcheck all that apply High School College Business or Trade School Name of High School Last year completed789101112Diploma OR Degree Name of College Last year completed1234more than fourMajor Diploma OR Degree Name of Business OR Trade School Dates Attendedmm/dd/yyyyToFrom Major Diploma OR Degree Personal InformationIf you are an experienced operator of any office machines or equipment, please list:click the + icon for additional rows If you are an experienced operator of any manufacturing machines or equipment, please listclick the + icon for additional rows Please list any additional skillsclick the + icon for additional rows Are you presently employed? Yes No May we contact your present employer? Yes No If hired, when would you be available? Month Day Year Salary Expectations* References (optional)click the + icon for additional rowsNameOccupationAddressTelephone Upload your CV/resume or any other relevant file.*Max. file size: 49 MB.Accepted file types: pdf, doc, docx, Max. file size: 49 MB.Certification*I certify that the answers given by me to the foregoing questions and statements are true and correct without consequential omissions of any kind. I agree that Creation Technologies shall not be held liable in any respect if my employment is terminated because of false statements, answers or omissions made by me in this application. I understand that any misleading or incorrect statements may render this application void, and, if employed, may be cause for termination. I also authorize the companies, schools or persons named above to give any information requested regarding my employment, character and qualifications. I hereby release said companies, schools or persons from all liability for any damage for issuing this information. In consideration of my employment, I agree to conform to the rules and regulations of Creation Technologies. Creation Technologies is an at will employer. My employment and compensation can be terminated with or without cause, and with or without notice, at any time, at the option of either Creation Technologies or myself. I understand that this application and/or any Creation Technologies policies, handbooks, salary agreements, etc., do not constitute a contract of employment. Yes
