Employment Application

Please fill out the form below as accurately as possible. If you need assistance with the application process, please call our Human Resources department at 812-265-3133, ext. 204.

Applicant Information


YES NO
YES NO
YES NO
YES NO

Education


YES NO

YES NO

YES NO

References


Please list 3 professional references


Previous Employment


YES NO

YES NO

YES NO

Military Service



As part of the application process for employment at Royer Corporation, I understand that they and/or its agents may conduct an investigation of my personal information. The investigation may include, but is not limited to names and dates of previous/current employment, work experience, worker's compensation claims, criminal history records (from state, federal, and other agencies), motor vehicle records, military records, names and dates of education, credit history and bankruptcy records. I understand that these records may be used for the eligibility of my employment. I authorize without reservation the full release of these records.

Royer Corporation reserves the right to perform pre-hire drug testing. In addition, I release and discharge Royer Corporation, and all of its agents and associates, any expenses, losses, damages, liabilities or any other charges or complaints for the investigative process. I also authorize the full release of the information described above, without any reservation, throughout any duration of my employment at Royer Corporation. I also certify that all information provided is correct on the application and/or resume to the best of my knowledge. Any false statements provided will be considered just cause for termination of my employment.