Careers

Thank you for your interest in a career at Norax Supplements.

Monday – Friday
(Weekends are mandatory if requested)

1st shift: 7:00 a.m. – 3:30 p.m.
2nd shift: 1:30 p.m. – 10 p.m.
(Or later depending on overtime)

The application below MUST be filled out completely in order to be considered.

APPLICANT INFORMATION
Full Name*
First Middle Last
Permanent Address*
Street Address Apartment/Unit # City State Zip Code
Phone*
Email*
Position Applied for*
Shifts Available*
Desired Salary*
Date Available*
MM slash DD slash YYYY
Male/Female*
- Male
- Female
- Prefer not to answer
Are you a citizen of the United States?*
- Yes
- No
Have you ever worked for this company?*
- Yes
- No
Have you ever been convicted of a felony?*
- Yes
- No
Are you able to work overtime?*
- Yes
- No
Referred by:
EDUCATION
Did you attend high school, college, or other?*
- Yes
- No
REFERENCES
Please list two references. (No Relatives)*
(Click the + button to add more rows)
Full Name Company Address Relationship Phone
PREVIOUS EMPLOYMENT
Company (Most Recent)*
Address*
Street Address City State ZIP Code
Phone*
Supervisor*
Job Title*
Salary*
Starting Ending
Responsibilities*
Employment Timeframe*
From To
Reason for Leaving?
May we contact your previous supervisor for a reference?*
- Yes
- No
Did you have another job before this one?*
- Yes
- No
DISCLAIMER AND SIGNATURE

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
Signature:*

Printing your First Name + Middle Initial + Last Name will act as your digital signature.
Date*
MM slash DD slash YYYY

Full Name	Company	Address	Relationship	Phone