Application For Employment

Please fill out the following online application completely. Required fields must be filled out, they have a red asterix next to them. If you do not have information for a required field, type in NONE. When all required fields have been filled in, CLICK on the submit button at the bottom of the page and your application will be sent to PLIANT's HR department in Macedon, New York. Thank you for applying.

Personal Information

* Required Fields

First Name:	*	Middle Name	*
Last Name:	*	Email:	*
Address:	*
City: * State: * Zip: *
Permanent Address:(If different than present address)
City: State: Zip:
Have you previously worked for or applied to this company?* Yes No
If Yes, Where and When?
Home Phone: * Work Phone: *
Are you at least of minimum age to work in this state?* Yes No
Are you prevented from lawfully becoming permanently employed in this country because of VISA or immigration status?* Yes No
State any restrictions as to work location

Employment Interests

Type Employment Desired*	Regular   Part Time   Temporary   Summer	Date available for employment*
State posistion applying for or type of work desired

Education

School Name	Dates Attended From  To		Degree Granted or Expected	Date Mo.  Yr.	Grade Point Average Major  Overall
High School*	*  *	Diploma/G.E.D.* Yes   No	*
College/University		Major
Graduate School		Major
Other
Scholastic honors (Fellowships, Prizes, Scholarships, Etc.) Explain each

Additional Qualifications

Describe any special training, skills or personal achievements that you believe may be an indication of your job-related abilities (e.g., computer skills, school activities, specialized training, honors not previously mentioned)

Employment

Include self-employment and military experience. Explain any gaps in employment. If you do not have any employment experience then type in "None" in the required fields.

Employer	Address, Telephone & Supervisor	Month/Year	Final Pay	Position Held (List job title and briefly describe duties)	Reason for Leaving
*	*	To: * From: *		*	*
		To: From:
		To: From:
		To: From:
		To: From:

Additional Information

When required are you willing to work:	Weekends*	Yes No	Shifts*	Yes No	Holidays*	Yes No	Overtime*	Yes No
May we call your present employer now?* Yes No If "no", when may we call?
Have you ever been convicted of any criminal offense other than minor traffic violations? If yes, give details, (conviction will not necessarily disqualify you from employment)* Yes No

References

List individuals you know, preferably on a professional or work basis, who have a knowledge of your qualifications for the position for which you are applying.

Name * Address * City * Phone * Relationship *	Name Address City Phone Relationship
Name Address City Phone Relationship	Name Address City Phone Relationship

Additional Comments (If any)

Acknowledgment

I authorize Pliant Corporation ("the Company") to verify all statements contained in this Application for Employment and to make any reference checks except as limited above for present employer.

I understand that if I am offered employment, my employment will be contingent on furnishing required documentation regarding citizenship or immigration status and academic transcripts. I further understand my employment will be contingent on my signing an "Assignment of Inventions and Confidentiality Agreement" and a "Business Conduct Guidelines Acknowledgement."

I understand any offer of employment will be contingent on successfully passing a pre-employment drug test and that a medical examination may be required depending on the physical requirements of the position.

I understand and agree that, although it is intended that the relationship between the Company and each employee will grow and be in the best interest of both the employee and the Company, the relationship is terminable at any time at the will of either the employee or the Company and without the need to indicate the specific reason or cause.

I certify that all statements I have made in this application are true and agree that any misrepresentation or omissions of facts called for may be sufficient cause for cancellation of my application for employment or immediate dismissal from the Company’s service if I have been employed.