Careers, Job Openings | Binghamton Agway

Application for Employment
Personal Information
Name*

First NameLast Name
Email*
example@example.com
Date*

MonthDayYear
Date
If Applicable, List Any Other Names By Which You Have Been Known Which May Be Necessary To Allow Us To Confirm Your Work And Educational Record. For Example, Change Of Name, Use Of An Assumed Name, Nickname, Etc.:
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
MSG. Phone

Area CodePhone Number
If You Are Under The Age Of 18, Can You Furnish A Work Permit If It Is Required?

YesNo
Can You After Employment, Submit Verification Of Your Legal Right To Work In The United States?*

YesNo
Have You Ever Worked For This Company Before?*

YesNo
If Yes, Give Dates and Location:
Do You Have Any Friends Or Relatives Employed By This Company?*

YesNo
Have You Ever Been Convicted Of A Crime (Ie: Misdemeanor Or Felony)?*

YesNo
If Yes, What Type Of Crime:
(YOU WILL NOT NECESSARILY BE DISQUALIFIED FROM EMPLOYMENT SOLELY BECAUSE OF A CONVICTION)
If Yes, Where?
If Yes, When?

MonthDayYear
Date
Employment Desired
What Position Are You Applying For?*
Date Available to Start *

MonthDayYear
Date
Type of Employment Desired*

Full TimePart Time
Desired Rate of Pay
$
If Driving Is An Essential Duty Of The Job Which You AreApplying For: Do You Have A Current Driver’s License?

YesNo
Education
High School Name & City/State
High School Diploma?

YesNo
College Name
College Degree?

YesNo
U.S. Military Service
Level Attained
Trade School
Level Attained/ Type Of Degree
Additional Skills And Qualifications
References

PLEASE PROVIDE THREE PROFESSIONAL REFERENCES WHO HAVE KNOWN YOU FOR AT LEAST TWO YEARS:
Reference 1 Name*

First NameLast Name
Reference 1 Email*
example@example.com
Reference 1 Phone Number*
Please enter a valid phone number.
Reference 1 Relationship*
Reference 2 Name*

First NameLast Name
Reference 2 Email*
example@example.com
Reference 2 Phone Number*
Please enter a valid phone number.
Reference 2 Relationship*
Reference 3 Name*

First NameLast Name
Reference 3 Email*
example@example.com
Reference 3 Phone Number*
Please enter a valid phone number.
Reference 3 Relationship*
Employment History

PROVIDE EMPLOYMENT HISTORY FOR THE PAST 7 YEARS - BEGIN WITH THE MOST RECENT EMPLOYER FIRST. ACCOUNT FOR ALL PERIODS OF UNEMPLOYMENT IN SPACE PROVIDED BETWEEN POSITIONS.
Name of Previous - Employer 1*
Employment Dates - Employer 1*
Position Held - Employer 1*
Immediate Supervisor 1*

First NameLast Name
Phone Number 1*
Please enter a valid phone number.
Reason For Leaving*
Name of Previous - Employer 2*
Employment Dates - Employer 2*
Position Held - Employer 2*
Immediate Supervisor 2*

First NameLast Name
Phone Number 2*
Please enter a valid phone number.
Reason For Leaving*
Name of Previous - Employer 3*
Employment Dates - Employer 3*
Position Held - Employer 3*
Immediate Supervisor 3*

First NameLast Name
Phone Number 3*
Please enter a valid phone number.
Reason For Leaving*
Certification and Signature
I understand that the company is relying upon all of the representations, both written and oral, which I have made or do during the entire process of applying for employment with Reno Carson Lumber. I acknowledge that Reno Carson Lumber has the right to investigate any other information that the company believes relevant including but not limited to, employment history, educational background, references, credit history and conviction records. I hereby agree to hold Reno Carson Lumber, its officers and agents harmless from any and all liability resulting in any way from such investigation and from any and all attorney fees resulting from any legal action I may institute which is within the scope of this waiver. I also authorize my former employers, schools, and references to provide any information they may have regarding me, whether or not it is in their records. I hereby release them and their company from all liability for divulging same.

In the event that employment is granted, Reno Carson Lumber, as employer, may at its discretion, with or without notice, modify, amend, or terminate present or future policies or practices relating to but not limited to, piece-rates, hours, job duties and descriptions, benefits or any other terms of employment.

In the event that employment is granted, I have no objection to making application for security clearance. And if necessary, signing an employee agreement on confidential information and inventions, or taking a job related medical examination.

In the event that employment is granted, in consideration of such employment, I promise to ascertain and abide by all pertinent rules and regulations, and I understand that failure to do so may be cause for discharge from such employment.

I understand that if Reno Carson Lumber employs me, my employment will be “at will” and I may terminate my employment at any time, with or without notice and with or without reason. Similarly, Reno Carson Lumber, is free to terminate an employment relationship with me at any time with or without notice and with or without reason if it believes it to be within Reno Carson Lumber’s best interest. No supervisor or representative of Reno Carson Lumber other than the President has the authority to enter into any agreement for employment for a specified period of time or to make any agreement contrary to the foregoing. Nothing in the company employment procedure or in subsequent employment is intended to be or convey a contract of employment, expressed or implied.

I have read and understand the foregoing application and agreement. By my signature below, I understand that incomplete or inaccurate employment applications will not be considered for employment. All the responses I have made on this application are true and correct to the best of my knowledge. I understand that if I make any false statements, misrepresentations, or omissions in this application process, this application could be rendered void and may be reason for my immediate discharge at any time during my employment.
Signature*

Clear
Name*

First NameLast Name
Date*

MonthDayYear
Date
We are an Equal Opportunity Employer

All applicants will be considered for employment without regard to actual or perceived race, color, religion, gender, sexual
orientation, gender identity or expression, national origin, age, disability, medical condition, pregnancy, genetic information, marital
status, amnesty, or status as a covered veteran or any other characteristic protected by applicable federal, state or local laws.
RENO CARSON LUMBER DRUG TESTING PROGRAM

NOTICE TO APPLICANTS

Reno Carson Lumber has a vital interest in maintaining safe, healthful and efficient working conditions for its customers and employees. Using or being under the influence of drugs and/or alcohol on the job may pose serious safety and health risks not only for the user, but to the public and all those who work with the user. The possession, use or sale of an illegal drug or controlled substance may also pose unacceptable risks to safe, healthful and efficient operations.

To meet this compelling interest, individuals who wish to be considered for employment must agree to PRE-PLACEMENT DRUG TESTING AND DRUG AND ALCOHOL TESTING DURING EMPLOYMENT.

By completing and signing this Notice and the attached Application of Employment, the applicant understands and agrees to submit to drug testing as a condition of our employment offer as well as to alcohol and drug testing during the course of employment as provided for in Reno Carson Lumber’s Drug and Alcohol Policy. The applicant further understands and agrees to release Reno Carson Lumber and its directors, officers, agents, employees, parents, subsidiaries and affiliated concerns from any and all liability, claims, demands, damages and causes of action of every kind and nature arising out of or resulting from or in connection with submitting to drug and alcohol testing and any decision concerning employment made by Reno Carson Lumber in whole or in part, based upon the results of drug and alcohol testing. Submission of an altered or adulterated specimen or the substitution of a specimen by the applicant will result in a withdrawal of the employment offer.

ANY APPLICANT WHO IS UNWILLING TO AGREE TO THESE CONDITIONS SHOULD NOT APPLY FOR EMPLOYMENT WITH RENO CARSON LUMBER.
Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty:

Application for Employment

Personal Information

Employment Desired

Education

References

Employment History