Employment Form
In compliance with federal and state equal opportunity laws, qualified applicants are considered for employment without regard to race, color, religion, gender, national origin, age, marital or veteran status, or the presence of a non-job related medical condition or handicap.
General Information
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Are you 18 years of age or older?
*
Yes
No
Are you legally eligible for employment in the U.S.?
*
Yes
No
Have you ever been employed here?
Yes
No
If yes, when?
MM/YYYY
If you are applying for a Driver position - have you had any moving violations?
*
Yes
No
Type
*
CDL-A
CDL-B
Other
Motor vehicle operator's permit number
*
Have you ever been convicted of a felony?
*
Yes
No
If yes - please explain
*
Conviction will not necessarily disqualify an applicant. This information will be used only for job-related purposes.
Position(s) applying for
Date available to start
MM/DD
Pay desired
Are you willing to work over time and/or weekends as needed?
Yes
No
List plant, shop and office equipment you are qualified to operate and/or office skills if applicable
Education
Please fill out to the best of your knowledge
High School name
High School address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Area of study
High School diploma?
Yes
No
College name
College address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Degree?
Yes
No
Area of study/degree type
Trade schools, certificates or other education?
Please list any other education, training, degrees or certifications
Personal References
Please list two personal or professional references who are not related to you
Reference #1 Name
First Name
Last Name
Reference #1 Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Reference #1 Phone Number
Please enter a valid phone number.
Reference #2 Name
First Name
Last Name
Reference #2 Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Reference #2 Phone Number
Please enter a valid phone number.
Work Experience
Please provide your previous work experience beginning with your most recent position
Employer #1 Name
*
First Name
Last Name
Employer #1 Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Employer #1 last position held
*
Employer #1 responsibilities/duties
*
Employer #1 last pay rate
Employer #1 dates
*
From MM/YYYY to MM/YYYY
Employer #1 Supervisor Name
*
First Name
Last Name
Employer #1 Supervisor Phone Number
*
Please enter a valid phone number.
Employer #1 Reason(s) for leaving
*
Employer #2 Name
First Name
Last Name
Employer #2 Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Employer #2 last position held
Employer #2 last pay rate
Employer #2 responsibilities/duties
Employer #2 dates
From MM/YYYY to MM/YYYY
Employer #2 Supervisor Name
First Name
Last Name
Employer #2 Supervisor Phone Number
Please enter a valid phone number.
Employer #2 Reason(s) for leaving
Employer #3 Name
First Name
Last Name
Employer #3 Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Employer #3 last position held
Employer #3 responsibilities/duties
Employer #3 last pay rate
Employer #3 dates
From MM/YYYY to MM/YYYY
Employer #3 Supervisor Name
First Name
Last Name
Employer #3 Supervisor Phone Number
Please enter a valid phone number.
Employer #3 Reason(s) for leaving
May we contact your present employer?
*
Yes
No
Referral Source
How did you hear of this position?
Choose one
Walk-in applicant
Newspaper ad
Employment agency
Government employment agency
Employee referral
Other
If "Other", please state
Personal Information
Our vehicle insurance company requires our drivers to have a good driving record and if possible - to be 24-years of age or older. It is possible that the position(s) you are applying for could require you to drive any one of the various sizes of vehicles we operate. Therefore, the following personal information is also needed to comply with our insurance company.
Name
First Name
Last Name
Date of birth
Classification
Certification by Applicant
If I am employed, I agree to abide by the rules and regulations of this company. I understand that my employment is at-will - which means that I may resign at any time - and similarly Northwoods Lumber may terminate my employment at any time, for any reason, with or without cause. I also understand that this at-will relationship may not be changed by any written document or by any behavior, unless the change is specifically acknowledged in writing and signed by Northwoods Lumber Company. By signing my name below, I certify that the answers I have given on this application for employment are true and correct to the best of my knowledge. I authorize such inquiry into the statements made in this application as may be necessary in reaching an employment decision. I understand that any false or misleading information given in this application or during a pre-employment interview, including a failure to disclose requested information, may result in immediate dismissal. I understand that I may be required to pass a drug test before a final offer of employment is made. By signing my name below, I consent to these procedures.
Signature
*
Please type your name
Date
*
Submit
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