Employment Application

If you are under 18 years of age, can you provide proof of your eligibility to work?
Yes No

Are you a citizen of the United States?
Yes No

If not, can you provide proof of lawful work status?
Yes No

Type of employment
Full Time Part Time Temporary

Date you can start?
Month January February March April May June July August September October November December Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 2012

Are you employed now?
Yes No

If so, may we contact your present employer?
Yes No

Do you have a valid driver's license?
(Only necessary if the work you are applying for requires this)
Yes No

Have you ever filled out an application with us before?
Yes No

If yes when?
Month January February March April May June July August September October November December Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 2009 2010 2011 2012

Have you ever been convicted of a crime other than a minor traffic violation?
Yes No

If so, give date, court and place where the offense occurred:

Special Skills and Qualifications ( Summarize special job-related skills and
qualifications acquired from employment or other experience.

Have you ever been bonded?
Yes No

Have you ever been refused bond?
Yes No

If so, state reason and date

Have you ever been discharged or requested to resign from a postion?
Yes No

If so, explain

Does your present employer know of your plans to change employment?
Yes No

Why do you desire to make a change?

Do you have steady transportation to work?
Yes No

Please give an information on special training you have received:

List any equipment (trucks, forklifts,etc.) or woodworking related
machinery that you have operated:

Have you served in the U.S. armed forces?
Yes No

If yes, when?

Did you receive any special training in the Armed Forces which
will help you perform the job in which you are applying for?
Yes No

If yes, please describe.

Job Applicant's Agreement and Certification

“I certify that the information given by me in this application is true in all respects, and I agree that if employed and it is found to be false in any way, I may be subject to dismissal without notice, if and when discovered. I authorize the use of any information in this application to verify my statements, and I authorize the past employers, doctors, all references, and any other persons to answer all questions asked concerning my ability, character, reputation, and previous employment record. I release all such persons from any liability or damages on account of having furnished such information. I further agree, if employed, that I am not to be absent for any reason without prior notice to my supervisor.

I understand that this organization is an "at will" employer. My employment and compensation can be terminated with or without cause, and with or without notice, at any time, at the option of either the Company or myself. It is further understood that this “at will” employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.

I agree to submit to a physical examination whenever requested after I have been employed, and I understand that such an examination may include tests for use of illegal drugs. If employed, I agree to abide by all present and subsequently issued personnel policies and rules. I further agree to use and properly maintain any company property issued to me for use in the performance of my job. If for any reason my employment should be terminated I will return in good condition (excluding normal wear) all company property entrusted to me. If said property cannot be returned in good condition I agree to pay for the replacement.”

Please Enter Security Code Before Submitting:	Note: Security Code is case sensitive. Your IP: 38.107.179.242

WE ARE AN EQUAL OPPORTUNITY EMPLOYER

WE ARE A DRUG FREE WORKPLACE

Screening tests for illegal drug use are required before hiring
and during your employment here.