EMPLOYMENT APPLICATION

Employment Application

We are an Equal Opportunity Employer

Applications are considered for all positions without regard to race, color, religion, sex, national origion, disability, age (40 + older), ancestry, military status, genetic information or any other characteristic protected by applicable law.













EMPLOYMENT DESIRED











Full TimeNightHolidaysPart TimeSummer Only






RECORD OF EDUCATION

Type of School Name and Location Years Attended Diploma/Degree Subject Studied
High School
College
Post Grad
Trade, Bus, Corresp.



MILITARY SERVICE




PERSONAL REFERENCES

(Individuals not related to you or previous employers who have known you for at least one year.)

Name Address Phone Number

PRIOR WORK HISTORY

(List in order, last or present employer first)

EMPLOYER #1
May we contact this employer?YesNo
Name, Address & Phone # of Employer Supervisor’s Name and Title
Start Date End Date
Starting Pay Ending Pay


EMPLOYER #2
May we contact this employer?YesNo
Name, Address & Phone # of Employer Supervisor’s Name and Title
Start Date End Date
Starting Pay Ending Pay


EMPLOYER #3
May we contact this employer?YesNo
Name, Address & Phone # of Employer Supervisor’s Name and Title
Start Date End Date
Starting Pay Ending Pay






Applicant’s Certification Agreement

  1. I authorize the investigation of all statements contained in this application, resume and any
    attachments. I release from liability any persons or employers supplying such information. I
    also release the company from all liability that might result from making the investigation.
  2. I certify that the facts and information set forth in this application are true and complete to
    the best of my knowledge. I understand that any falsification, misrepresentation, or omission of
    facts on the application, resume and any attachments (or on any required document) will be
    cause for denial of employment or immediate termination of employment, regardless of when
    or how it was discovered.
  3. I agree, if I am offered and accept a position, to conform to all existing and future company
    rules and regulations, and I understand that the company reserves the right to change wages,
    hours and working conditions as deemed necessary. I ALSO UNDERSTAND THAT, IF
    HIRED, MY EMPLOYMENT WILL BE AT-WILL, WHICH MEANS THAT EITHER
    PARTY CAN END THE EMPLOYMENT RELATIONSHIP AT ANY TIME AND FOR ANY
    OR NO REASON.
  4. I understand that any employment offer is contingent upon my providing, within three
    working days of employment, valid proof of identity and eligibility to work in order to comply
    with the Immigration Reform and Control Act of 1986.
  5. I understand that any employment offer is also contingent upon the passing of a blood and/
    or urine test for alcohol and drugs. Pike Lumber will not hire any applicant who fails to pass
    the pre-employment drug and alcohol test.
    I have read and reviewed the information provided in this application and the above statements.
    By signing this application for employment, I certify that all the information provided by me,
    including any resumes, test answers or attachments, is truthful and accurate.