Application for Employment

Personal Information


Position and Referrals

General Questions


Starting Date And Wage

Employment Information

1st shift 8am-4pm

2nd shift 4pm-12pm

3rd shift 12am-8am

12 hr am: 6am - 6pm

12 hr pm: 6pm - 6am

FYI = Office Hours: 8am - 5pm

If you have a shift preference, please list:



High School


Military Service


Prior Employment

Start with most recent employer

If you don't have previous employment to report, click on next.


Employer #2

If you don't have previous employment to report, click on next.


Employer #3

If you don't have previous employment to report, click on next.


Special Qualifications or Skills

Personal References

List two personal references. (exclude relatives or former employers).


Voluntary Disclosure

Our policy is to provide equal employment opportunity to all applicants for employment without regard to race, religion, gender, age, sexual orientation, national origin, disability, marital or veteran status, medical condition or handicap, or any other legally protected status. We are required to collect certain personal information from our applicants and employees in order to comply with the U.S. Government Affirmative Action Programs.

Completion of this section is entirely voluntary.

If you choose to provide the information requested below, you are assured that it will be kept confidential and separate from your application form. This information is not a requirement for employment and will not be a factor regarding the decision to hire. To proceed without completing this information click on next.

In accordance with United States Department of Labor regulations, federal contractors are required to provide an opportunity for handicapped individuals, disabled veterans and Vietnam era veterans to identify themselves when applying for employment. Identification is entirely voluntary and confidential. The information provided will only be used in strict accordance with U.S. Department of Labor regulations. If you wish to be identified, please check any of the following that apply:

Handicapped individual

Disabled Veteran

Vietnam Era Veteran

Persian Gulf Veteran


Apply For Other Positions

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Lexington, TN - Molding Technician
Brookings, SD - Molding Technician-Overnights
Madison, SD - Processing Specialist - Life Floor
Corporate - Brookings, SD - Sales Account Manager

Drug Free Workplace Policy: Falcon Plastics is committed to a drug-free workplace. All job applicants after being offered and accepting a position at Falcon Plastics will be asked to submit to a substance abuse testing as a condition of employment. Any applicant with a confirmed positive test result will be denied employment. For complete information and guidelines on our Drug-Free Workplace Program please contact the Human Resource Department.

Please read the following paragraph

I authorize investigation of all statements contained in this application and release authority to obtain reference checks from my past employers. I understand that misrepresentation or omission of facts called for is cause for dismissal. Further, I understand and agree that my employment is for no definite period and may, regardless of the date of payment of my wages and salary be terminated at any time without any previous notice or without cause.


By checking this box I agree to the above terms and consider this checkbox approval as my employment application signature.