Application for Employment

Collum’s Lumber Products, LLC - APPLICATION FOR EMPLOYMENT
Collum’s Lumber Products is an equal opportunity employer. Collum’s Lumber Products does not discriminate in employment with regard to race, color, religion, national origin, citizenship status, ancestry, age, sex (including sexual harassment), sexual orientation, marital status, physical or mental disability, military status or unfavorable discharge from military service or any other characteristic protected by law.
Personal Information

Incomplete information could disqualify you from further consideration. Please complete all fields.
Name*
Date

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Home Phone Number

Area CodePhone Number
Mobile Phone Number

Area CodePhone Number
YesNo
YesNo
YesNo
If yes, please provide company names and details
DaysNightsEither
YesNo
YesNo
Employment Desired
Date you can start*

MonthDayYear
Date
Hourly Rate/Salary desired
Position desired
YesNo
If Yes may we inquire of your present employer?
If yes, please provide details
YesNo
Dates of Employment
YesNo
If so, who?
Education

EDUCATION*

Rows	Name and location of school	Degree ReceivedWhere( ex.Collum's Lumber)	Subjects studied/MajorDescription (ex. Warehouse: Loading Trucks)
High School
College or University
Trade, Business or Correspondence School

Employment History

Include your last seven (7) years of employment history, including periods of unemployment, starting with the most recent and working backwards in time. Incomplete information could disqualify you from further consideration.

1-Employment History*

Rows	From	To	Employer Name	Telephone	Job Title	Address	Immediate supervisor and title	Summarize the nature of work performed and job responsibilities	Reason for leaving

2-Employment History

Rows	From	To	Employer Name	Telephone	Job Title	Address	Immediate supervisor and title	Summarize the nature of work performed and job responsibilities	Reason for leaving

3-Employment History

Rows	From	To	Employer Name	Telephone	Job Title	Address	Immediate supervisor and title	Summarize the nature of work performed and job responsibilities	Reason for leaving

4-Employment History

Rows	From	To	Employer Name	Telephone	Job Title	Address	Immediate supervisor and title	Summarize the nature of work performed and job responsibilities	Reason for leaving

Do you have any special skills, experience and/or training that would enhance your ability to perform theposition applied for? If yes, explain.
REFERENCES

Give the names of three persons not related to you, whom you have known at least three (3) years.

References*

Please read carefully before signing.
I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for Collum’s Lumber Products to hire me. If I am hired, I understand that either Collum’s Lumber Products or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of Collum’s Lumber Products has the authority to make any assurance to the contrary.

I attest with my signature below that I have given to Collum’s Lumber Products true and complete information on this application. No requested information has been concealed. I authorize Collum’s Lumber Products to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal.
Date*

MonthDayYear
Date
Signature of Applicant*

Clear
THIS APPLICATION IS VALID ONLY FOR 60 DAYS FROM THE DATE ABOVE.
Should be Empty:

Collum’s Lumber Products, LLC - APPLICATION FOR EMPLOYMENT