Employment Application Form - North Fork Lumber Company

Date

Name *

First

Middle

Last

Primary Phone *

Secondary Phone

Full Mailing Address *

Email *

Position applying for: *

What days and hours are you available for work? *

Are you available to work any shift? *

Yes
No

Are you available for work on weekends? *

Yes
No

Are you available to work overtime, if necessary? *

Yes
No

If hired, on what date can you start work? *

Have you ever applied to or worked for North Fork Lumber Co. before? *

Yes
No

If yes, when?

Do you have friends or relatives working for North Fork Lumber Co.? *

Yes
No

If yes, please state name(s) and relationship:

Why are you applying for North Fork Lumber Co.? *

How did you hear about our company? *

If hired, would you have a reliable means of transportation to and from work? *

Yes
No

Are you at least 18 years of age? (If under 18, hire is subject to verification that you are of minimum legal age) *

Yes
No

Are you currently employed? *

Yes
No

If yes, may we contact your current employer? *

Yes
No

High School Name and Address

# of Years

Did you graduate?

Yes
No

Degree or diploma?

Degree
Diploma

College/University Name and Address

# of Years

Did you graduate?

Yes
No

Degree or diploma?

Degree
Diploma

Graduate School Name and Address

# of Years

Did you graduate?

Yes
No

Degree or diploma?

Degree
Diploma

Special Schooling Name and Address

# of Years

Did you graduate?

Yes
No

Degree or diploma?

Degree
Diploma

Do you have any other experience, training, qualifications or skills which you feel make you especially suited for work at North Fork Lumber Co.? If so, please explain below.

Personal Reference #1

Phone No.

Occupation

# of years acquainted

Personal Reference #2

Phone No.

Occupation

# of years acquainted

Personal Reference #3

Phone No.

Occupation

# of years acquainted

Most Recent Employer #1

Address

Type of business

Phone No.

Your supervisors name

Your position and duties

Date started

Date ended

Reason for leaving

Most Recent Employer #2

Address

Type of business

Phone No.

Your supervisors name

Your position and duties

Date started

Date ended

Reason for leaving

Most Recent Employer #3

Address

Type of business

Phone No.

Your supervisors name

Your position and duties

Date started

Date ended

Reason for leaving

Most Recent Employer #4

Address

Type of business

Phone No.

Your supervisors name

Your position and duties

Date started

Date ended

Reason for leaving

Please Review and Initial to Accept the Following Terms and Conditions *

I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.

I hereby authorize the company to thoroughly investigate references, work record, education and other matters related to my suitability for employment and, further, authorize the references I have listed to disclose to the company any and all letters, reports, and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release the company, my former employers and all other persons, corporations, partnerships, and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure.

I understand that nothing contained in the application or conveyed during any interview which may be granted or during my employment, if hired, is intended to create an employment contract between me and the company. In addition, I understand and agree that if I am employed, my employment is for no definite or determinable period and may be terminated at any time, with or without prior notice, at the option of either myself or the company, and that no promises or representations contrary to the foregoing are binding on the company unless made in writing and signed by me and the company’s President.

I understand that my application will only be considered for job openings that I have applied for which occur within 60 days from the date below. I also understand that I may renew my application for additional 60 day periods by making a written or verbal request at the company office. I fully understand that if I do not renew my application, this will signify that I do not desire to be considered for employment at North Fork Lumber Company for more than 60 days from the date below.