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Phone (260) 482-3540

Careers

Online Application

Last Name *

First Name *

Middle Initial *

Date of Birth * / /

Present Address *

Apt. No.

City *

State *

Zip Code *

Home Phone Number (include area code)

Cell Phone Number (include area code) *

E-mail Address: *

If hired, can you provide citizenship status or provide valid authorization to work in the U.S.? *

Yes
No

Have you ever been convicted of a felony (Do not answer "yes" if your official conviction record has been annulled, expunged or sealed. A past criminal history does not necessarily disqualify an applicant for employment.)? *

Yes
No

If yes, please describe

Position applying for *

Soil Sort
Production
Driver
Distribution
Other

Date Available * / /

Days and times available *

MTWRF 3:00 AM - 11:30 AM
MTWRF 4:00 AM - 12:30 PM
Other

If other, please specify

Are you applying for (Approx. how many hours/month are you interested?) *

Hourly
Salary
Full Time
Part Time
Temporary

Salary or Hourly Rate Desired *

Special Skills/Qualifications *

Are you employed now? *

Yes
No

If so, may we contact your current employer? *

Yes
No
NA

Have you ever applied with our company before *

Yes
No

If yes, where?

If yes, when?

Have you ever worked for this company before? *

Yes
No

If yes, where?

If yes, when?

Reason for leaving?

Name of last supervisor at this company

How were you referred to this company? *

Current Employee
Advertisement
School or College
Recruiter
Other

If current employee, who?

If other, please specify

High School last attended *

Location *

Date last attended * / /

Major field of study *

Graduated *

Yes
No

Credits or Degree obtained

College

Location

Date last attended / /

Major field of study

Graduated

Yes
No

Credits or degree obtained

Graduate School

Location

Date last attended / /

Major field of study

Graduated

Yes
No

Credits or Degree obtained

Business/Trade/Technical

Location

Date last attended / /

Major field of study

Graduated

Yes
No

Credits or Degree obtained

Employer Name

Supervisor Name

Address

Phone Number

Job Title & Description of Duties

Reason for leaving

Dates of Employment

Salary History (Start & End)

Employer Name

Supervisor Name

Address

Phone Number

Job Title & Description of Duties

Reason for leaving

Dates of Employment

Salary History (Start & End)

Employer Name

Supervisor Name

Address

Phone Number

Job Title & Description of Duties

Reason for leaving

Dates of Employment

Salary History (Start & End)

Employer Name

Supervisor Name

Address

Phone Number

Job Title & Description of Duties

Reason for leaving

Dates of Employment

Salary History (Start & End)

Name of Reference

Address

Telephone Number

Name of Reference

Address

Telephone Number

Release/Content/Disclosure APPLICANT'S SIGNATURE (Please see below for full disclosure before agreement) *

Release/Content/Disclosure DATE (Please see below for full disclosure before agreement) *

I have read, understand and agree with this statement (Please see website for full disclosure before agreement) *

I Agree

* Required Free Contact Form

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Printable Application

Applicants may print application (available below) and turn in on site.

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Hospital Laundry Service, Inc.
3322 Cavalier Drive - Fort Wayne, IN 46808

Hours

Monday - Friday
6:00 AM - 2:30 PM

Telephone

(260) 482-3540

Email

[email protected]

@hlsfortwayne

Home
Our Process
Linen Catalog
Lost & Found
Contact Us
Careers

Careers

Online Application

Printable Application

Hospital Laundry Service, Inc.​3322 Cavalier Drive - Fort Wayne, IN 46808

Hours

Telephone

Email

Hospital Laundry Service, Inc.
3322 Cavalier Drive - Fort Wayne, IN 46808