Personal Information Please provide the following personal information.

Your Email Address: This form requires a valid email address (you@youremail.com)

Last Name: First Name: Middle Initial:

Permanent Address: Street:   Apt. #: City: Sate: Zip: Temporary Address (If applicable): Street:   Apt. #: City: Sate: Zip:

Permanent Phone Number:  (area code)   number ext. Temporary Phone Number:  (area code)   number ext.

Social Security Number:

Position Information

Advertised Position To apply for an advertised position, please enter the Job Title and Job Code (if applicable) as they appeared in the advertisement. Advertised Job Title: Advertised Job Code (if available): What Publication Did You See Advertisement In:

Applying For Position When Available Use the area below to apply for a position that may become available. Job Title or Type of Position Applying For:

Length of Desired Employment Please check one: Full Time   Part Time   Permanent   Temporary   Summer

Résumé If you have a resume that you would like to submit with your application please check the approptiate box below. You can email your resume, mail your resume to our postal address, or you can copy and paste the text of your resume in box below.

Paste Resume Copy the text from your electronic file and paste or type into box below.

I Will Email Resume Check here if you plan toemail your resume.

Sending Resume Via Postal Mail Check here if you plan to, or have already sent your resume via postal mail.

I am not submitting a resume at this time. Check here if you are not submitting a resume (so we know not to look for one).

Cover Letter If you would also like to include a cover letter electronically, please include with your resume, or add letter below:

Type or Paste Cover Letter Copy the text from your electronic document and paste into box below.

Education Please list schools you have attended.

Grade School School Name/Address: Did You Graduate: Last Grade Completed: Yes   No

High School School Name/Address: Did You Graduate: Last Grade Completed: Area of Specialization: Yes   No

College or Trade School School Name/Address: Did You Graduate: Last Grade Completed: Area of Specialization: Yes   No

College or Trade School School Name/Address: Did You Graduate: Last Grade Completed: Area of Specialization: Yes   No

Military Status & Experience Please provide the following information.

Have you served in the U.S. Military Yes   No Branch of Service Served: Date Entered: Date Discharged: Are You a Current Member of U.S. Reserve Unit: Yes   No Active Inactive

Employment History Please list your employment history starting with most recent, and up to two previous jobs.

01 Most Recent or Current Employment Employer Name/Address: Dates (mo/yr): Wages: Principal duties: From: mo: yr: To: mo: yr: Starting: Ending:

02 Previous Employment Employer Name/Address: Dates (mo/yr): Wages: Principal duties: From: mo: yr: To: mo: yr: Starting: Ending:

03 Previous Employment Employer Name/Address: Dates (mo/yr): Wages: Principal duties: From: mo: yr: To: mo: yr: Starting: Ending:

References Please list up to three personal references (excluding relatives unless employer) in space provided below.

01 Reference Address: Phone: Name:  (area code)   number Occupation:

02 Reference Address: Phone: Name:  (area code)   number Occupation:

03 Reference Address: Phone: Name:  (area code)   number Occupation:

Additional Information Please provide the following information.

Have you ever worked for Snyder before: Yes No Indicate where and when: Have you ever applied for a position with Snyder before: Yes No Indicate where and when: List any Snyder employees you know: Are you willing to work shift hours: Yes No Is any information, relative to change of name, use of an assumed name or nick name, necessary to enable a check on your work records: Yes No If yes please explain:

Additional Medical Information Do you have any disabilities that would prevent you from doing the job for which you have applied? Yes No Have you ever been rejected for medical reasons for employment: Yes No Military: Yes No Do you now or have you ever received workman's compensation or other disability payments: Yes No If you answered yes to any of the additional medical questions, please explain:

Application Agreement Thank you for taking the time to fill out our online Job Application. By submitting this application you are agreeing to the following: I voluntarily give Snyder Industries, Inc. the right to make investigation of my past employment and activities, agree to cooperate in such investigation and release from all liability or responsibility, all persons, companies or corporations supplying such information. I consent to taking a pre-employment physical examination or such future physical examinations that may be required by the company. I agree to wear protective clothing and/or devices as required by the company and to comply with all safety rules. I further understand that any misrepresentation by me on this application or any supplement thereto, or in connection with the above mentioned investigation, will be sufficient grounds for immediate discharge. Notice: Title 15 of the U.S. Code, Sections 1681 and following, require that we advise you that a routine inquiry will provide appropriate information regarding character, general reputation, personal characteristics and mode of living. Upon written request, additional information as to the nature and scope of the report, if one is made, will be provided. Federal and State law prohibit discrimination in employment because of age, sex, race, color, religion or national origin. (must check) I agree to the above conditions.

Once you have completed filling in the information, please press the "Submit Job Application" button below. Please Note: This is a secure form which encrypts all information sent using SSL technology. We do not share any information submitted with any other companies. For information on how your information is used, see our Privacy Policy and Legal Info pages, or contact us for more information.