Mader Mill, Inc Application

Job Application

Please complete the form below to apply for a position with us.
Full Name

First NameMiddle NameLast Name
Today's Date

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Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email Address
Phone Number

Area CodePhone Number
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Are you 18 Years of Age or Older?
Employment Position
Applying for Position
How did you hear about this position?
If Hired, When are you available to start?

MonthDayYear
Date
Do you have a valid drivers license?
If no, do you have reliable transportation to and from work?
Hourly Wage Desired?
Personal Information
Have you worked for Mader Mill, Inc. before?
If yes, When?
Do you have any friends or relatives working at Mader Mill?
If yes, Please provide name and relationship:
Are you a U.S. citizen, or approved to work in the U.S.?
Have you ever been convicted of a criminal offense (felony or misdemeanor)?
If yes, please state the nature of the crime(s), when and where they were convicted and the disposition of the case:
(Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event and the surrounding circumstances and the relevance of the position(s) applied for may be considered.)
Do you have now, or ever in the past had any medical issues that would prevent you from doing manual labor?
If yes, please explain:
Are you currently taking any medications that would inhibit your ability to work with saws and/ or heavy machinery?
If yes, please elaborate:
Education and Training
High School diploma or equivalent ?
Name of School:
Year of graduation:
Did you attend a college/ university or vocational school?
Are you or have you ever been a member of the Armed Services?
If yes, What branch of the military did you enlist with?
How many years served?
Previous Employment

Please provide your previous employment beginning with the most recent.
Employer:
Job Title:
Supervisor Name:
Employer Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Employer Phone Number:

Area CodePhone Number
Start Date:

MonthDayYear
Date
End Date:

MonthDayYear
Date
Reason for leaving?
Employer:
Job Title:
Supervisor Name:
Employer Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Employer Phone Number:

Area CodePhone Number
Start Date:

MonthDayYear
Date
End Date:

MonthDayYear
Date
Reason for leaving?
Employer:
Job Title:
Supervisor Name:
Employer Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Employer Phone Number:

Area CodePhone Number
Start Date:

MonthDayYear
Date
End Date:

MonthDayYear
Date
Reason for leaving?
References

Please provide at least two (2) professional reference(s) and one (1) personal reference
Reference Name:

First NameLast Name
Relationship:
Years Known:
Reference Phone Number:

Area CodePhone Number
Reference Email:
example@example.com
Years Known:
Company:
Reference Name:

First NameLast Name
Relationship:
Reference Phone Number:

Area CodePhone Number
Reference Email:
example@example.com
Company:
Reference Name:

First NameLast Name
Relationship:
Years Known:
Reference Phone Number:

Area CodePhone Number
Reference Email:
example@example.com
Company:
At-Will Employment
The relationship between you and the Mader Mill, Inc. is referred to as “employment at will.” This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or Mader Mill, Inc. No representative of Mader Mill, Inc. has authority to enter into any agreement contrary to the foregoing “employment at will” relationship. You understand that your employment as “at will” and that you acknowledge that no oral or written statements, except for a written statement signed by you and The Company’s President.
By clicking "Submit" you are stating that all of the information provided above is accurate and up to date.
Electronic Signature:

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Job Application