Employment Application
Name
Email Address
example@example.com
Address
City
State
Zip Code
Phone Number
Date of Birth
/
Month
/
Day
Year
Date
Are you at least 18 years old?
Emergency Contact Name
Emergency Contact Cell Phone Number
Emergency Contact Home Phone Number
Emergency Contact Address
Emergency Contact City
Emergency Contact State
Zip
Shift Preference
Shift 1
Shift 2
Shift 3
Full / Part Time
Full
Part Time
Days Available
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Education: High School Name
Graduate high school?
Yes
No
Education: College Name
Graduate from College?
Yes
No
U.S. Citizen
Yes
No
If you answered NO, do you have authorization to work in the United States?
Ye s
No
Have you been convicted of a felony in the last 5 years?
Yes
No
Do you have pending charges at this time?
Ye s
No
Employment History 1: Position
How long employed
Company Name
Address
Contact Person
Reason for leaving
Salary / Wage
Employment History 2: Position
How long employed
Company Name
Address
Contact Person
Reason for leaving
Salary / Wage
Do you have a valid driver’s license?
Yes
No
Do you have a dependable means of transportation?
Yes
No
Will you be depending on another person to bring you to work?
Yes
No
Do you have previous experience working with wood? Explain:
Can you read a tape measure?
Yes
No
Preview PDF
Submit
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