Employment Application

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Application for Employment

About You

First Name
Middle Name
Last Name
 
Current Residence (Past 1-5 years)

Is it OK to call you at work?  Yes No

Past Residence(s)
/ /
to / /
 
Position applying for
Pay expected
 FT PT Seasonal

Are there any hours, shifts or days you cannot or will not work?  Yes No

If yes, explain:

Resume attached?  Yes No

Alias or Past Names (Please include maiden name, if applicable.)

Are You

Over 18 Years Old?  Yes No
A previous applicant?  Yes No
A previous employee?  Yes No
Legally able to work in the US?  Yes No
Able to make it to work using reliable transporation  Yes No

Have You

Ever been convicted of a crime other than a traffic violation?  Yes No

If yes, please describe and include type of crime and date of conviction.

List relatives employed by Williams Lumber

How did you find us?

Your Work Experience

Present / Last Employer

/ /

/ /

May we contact your supervisor?  Yes No

Present / Last Employer

/ /

/ /

May we contact your supervisor?  Yes No

Present / Last Employer

/ /

/ /

May we contact your supervisor?  Yes No

Present / Last Employer

/ /

/ /

May we contact your supervisor?  Yes No

Present / Last Employer

/ /

/ /

May we contact your supervisor?  Yes No

Present / Last Employer

/ /

/ /

May we contact your supervisor?  Yes No

Your Education and Training

Type of School Name and Location of School Training Dates of Attendance Name and Date of Degree Earned Fields of Study (Major and Minor)
High School / Trade School
Business or Tech School
Colleges
Other Training (Explain)

Academics or Other Awards or Achievements

(Academic honors, awards, scholarships/fellowships, membership in academic societies or other awards obtained related to your education or qualifications for the position*)

Date / / Description Achievement
Date / / Description Achievement
Date / / Description Achievement
Date / / Description Achievement

Additional Qualifications

(Special technical computer or individual skills that would qualify you for the position*)

Description

Description

Description

Description

U.S. Military Service

/ / to / /

Honorable Discharge?  Yes No

 

*Exclude those that would indicate race, color, religion, national origin, disability or age.

Please Read Carefully
If you have any questions regarding the application, this statement, or have need of special assistance in regards to applying for this position, please see the Human Resources Director.

This Organization does not discriminate in hiring on basis of race, color, religion, sex, national origin, disability, veteran status, or your membership in any protected class under law of this jurisdication. This application does not intend to ask questions that would provide information that could be used for discrimination.

Your application will be given the consideration it deserves; however, completing an application does not imply that you will be offered employment. By signing your name below, you understand that nothing contained in this application or any infor- mation gained or discussed during this interview process creates an employment contract between you and this Organization. Should this application and the process surrounding this application result in your employment, you have the right to termi- nate your employment at any time and for any reason.

When processing this application, Organization may request a criminal, police or credit background check about you. In addition to background checks, this Organization may contact past employers, supervisors and/or any other person listed in this application regarding the statements made herein and your suitablity for employment. This inquiry may include request to disclose information as to your general character, reputation and work-related characteristics. You have the right to make a written request to the Human Resources Department of this Organization to disclose to you the content of these reports.

Also note that should you become employed by this Organization, this Organization may use outside agents or representatives to perform investigations surrounding any claim of wrongdoing including sexual harassment, theft or fraud.

By signing your name, you certify that all statements made by you on this application are true and complete to the best of your knowledge and that any misrepresentations or omissions by you may be the cause for rejection of your application, or may be cause for subsequent dismissal if you are hired.

Signature of Applicant Date