Louws Truss Application:
Location Applying for:
*
Please Select
Louws Truss- Burlington
Louws Truss- Lacey
Louws Truss- Cashmere
Personal Information:
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Position Applying For:
Salary Desired:
Shift Applying For:
Days
Nights
Any
Date You Can Start:
-
Month
-
Day
Year
Date
Have You Applied Here Before?
Yes
No
Are You Currently Employed?
*
Yes
No
If so, May We Contact Your Employer?
Yes
No
Employment History:
Name of Company:
*
Date You Began:
*
-
Month
-
Day
Year
Date
Date You Left:
*
-
Month
-
Day
Year
Date
List Major Duties:
Reason for leaving:
Employment History:
Name of Company:
Date You Began:
-
Month
-
Day
Year
Date
Date You Left:
-
Month
-
Day
Year
Date
List Major Duties:
Reason for leaving:
Employment History:
Name of Company:
Date You Began:
-
Month
-
Day
Year
Date
Date You Left:
-
Month
-
Day
Year
Date
List Major Duties:
Reason for leaving:
Employment History:
Name of Company:
Date You Began:
-
Month
-
Day
Year
Date
Date You Left:
-
Month
-
Day
Year
Date
List Major Duties:
Reason for leaving:
General Information:
Please list any skills, training, or experience that is relevant to the job for which you are applying for:
How did you hear about us?
Education:
High School:
Location of school:
Years attended:
College:
Location of school:
Years attended:
Other schooling:
Location of school:
Years attended:
References:
Name:
Number:
Occupation:
Relationship:
Please Select
Friend
Coworker
Previous Employer
Family Member
School mate
Spouse
Years known:
Name:
Number:
Occupation:
Relationship:
Please Select
Friend
Coworker
Previous Employer
Family Member
School mate
Spouse
Years known:
Name:
Number:
Occupation:
Relationship:
Please Select
Friend
Coworker
Previous Employer
Family Member
School mate
Spouse
Years known:
Affidavit
"I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsifiedstatements on this application shall be grounds for dismissal.I authorize investigation of all statements contained herein and the references and employers listed above to give Louws Truss, Inc. any and allinformation concerning my previous employment and any pertinent information they may have, personal or otherwise, and release Louws Truss,Inc. from all liability for any damage that may result from utilization of such information.I also understand and agree that no representative of Louws Truss, Inc. has any authority to enter into any agreement for employment for anyspecified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized representative ofLouws Truss, Inc. I also understand that my employment is "at will", which means that the company or I may terminate my employment at any time for any reason. This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with DisabilitiesAct (ADA) and other relevant federal and state laws."
Signature:
*
Date Signed:
*
-
Month
-
Day
Year
Date
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