Wheeler Rock Products Employee Application

Wheeler Rock Products
250 Cowin Lane. Wapato, WA 98951 Phone: (509)-877-2057
Applicant Information
First*
MI
Last*
Date Applied*

MonthDayYear
Date
Age
Date of Birth*

MonthDayYear
Date
Street Address*
Apartment/Unit#
City*
State*
ZIP Code*
Phone*
Email
example@example.com
Date Available*

MonthDayYear
Social Security No
Position Applied for*
Are you a citizen of the United States?*

YesNo
If no, are you authorized to work in the United States?

YesNo
Have you ever worked for this company?*

YesNo
If yes when
Have you ever been convicted of a felony?*

YesNo
Are you an enrolled Tribal Member?*

YesNo
If Yes What Tribe
Enrollment #
Applicant Education
High School*
High School Address*
When did you attend?
What was the time period?
Did you graduate High School*

YesNo
College
College Address
When did you attend?
What was the time period?
Did you graduate College

YesNo
Degree
Other Education
Address
When did you attend?
What was the time period?
Did you graduate other education?

YesNo
Degree
References

Please list three professional references.
Reference 1 Full Name*
Relationship*
Company*
Phone*
Address
Reference 2 Full Name*
Relationship*
Company*
Phone*
Address
Reference 3 Full Name*
Relationship*
Company*
Phone*
Address
Previous Employment
Company
Phone
Address
Supervisor
Job Title
Starting and Ending Salary
What were your responsibilities?
How long did you work there?
Format xx/xx/xx to xx/xx/xx
Reason for Leaving
May we contact this previous supervisor for a reference?

YesNo
Company
Phone
Address
Supervisor
Job Title
Starting and Ending Salary
What were your responsibilities?
How long did you work there?
Format xx/xx/xx to xx/xx/xx
Reason for Leaving
May we contact this previous supervisor for a reference?

YesNo
Questions from Employer
Do You Have A Drivers License?*

YesNo
Do You Have A Means of Transportation?*

YesNo
Do You Have A Good Driving Record?*

YesNo
Can you operate equipment?*

YesNo
Describe your equipment experience
Are You Willing To Work Long Hours? (Weekends, On-Call, Etc..)?*

YesNo
Do You Have Any Certifications? (CPR, First Aid, CDL, Etc.)?*

YesNo
Why Do You Believe We Should Hire You Why Are You The Person For The Job?*
Please upload your resume here:

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Disclaimer and Signature
I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my applicationor interview may result in my release
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Date*

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Date
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Wheeler Rock Products

Applicant Information

Applicant Education

References

Previous Employment

Questions from Employer

Disclaimer and Signature