Careers Employment Interest Form for all Positions

 
 
* First Name :  
* Last Name :  
* Address :  
* City :  
* State :  
* Zip :   
* Phone :   
* Best time to call :  
   Email Address :  
* Date Available to Start :
 
  (MM/DD/YYYY)
   Position Applying For:  
   Referred By:  
   * Indicates a required field.  

I am interested in the following shift(s):

North Carolina Shifts
1st Shift (7 am - 3 pm) 4th Shift (11 pm - 11 am)
2nd Shift (3 pm - 11 pm) 5th Shift (11 am - 11 pm)
3rd Shift (11 pm - 7 am)  
Pennsylvania Shifts
Day Shift (7am - 7pm) Night Shift (7pm - 7am)
Professional (8am - 5pm)  

  Educational Background (Select one that best describes you):





  Are you at least 18 years old?
 
  Are you a citizen or national, an alien lawfully admitted to permanent residence, or an alien authorized to work in the U.S.?
 
  Have you been employed by Berk-Tek previously?
  If "Yes", when and where: 
 
  Have you been terminated from a job for cause in the past 5 years?
 
  Are you willing to take a drug test?
 
Attach Resumé (optional):  
File size is limited to 3MB. File types are limited to PDF, DOC, DOCX, RTF, TXT

Berk-Tek is an Equal Opportunity Employer.