Name *

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Position

General Production

Framing Department Technician

Sanding Technician

Finish Technician

Assembly Technician

Truck Driver

Office

How did you hear about us? *

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Employment Agency

Job Board

Referral

Walk-in

Are you over the age of 18? (If under 18, hire is subject to reverification of minimum legal age) *

Yes

No

Have you ever filed an application with us before? *

Yes

No

Availability

Full time

Part time

Seasonal

Available start date

MM

DD

YYYY

Can you travel if a job requires it?

Yes

No

Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status?

Proof of citizenship or immigration status will be required upon employment.

Yes

No

Have you been convicted of a felony within the last 7 years?

Conviction will not necessarily disqualify an applicant from employment.

Yes

No

Applicant's Statement *

I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. This application for employment shall be considered active for a period of time not to exceed six months. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an “at will” nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. 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. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer. I understand that I may be subject to drug testing and that if a positive or tampered test result occurs the job offer may be withdrawn.

First Name

Last Name

Date

MM

DD

YYYY