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Application for Employment

Phoenix Wood Products is an equal opportunity employer. Full access to programs, services and employment is
available to all persons, regardless of race, religion, national origin, sex, age, disability, marital status,
citizen status, sexual orientation, veteran status, pregnancy or any other prohibited factor. Equal access to
programs, services and employment is available to all persons. Those applicants requiring accommodation to the
application and/or interview process should contact a representative of the Personnel Department.

Application

date_time

id

Postion Applying For:

Laborer

Forklift Operator

Manager

Office

First Name

Middle Name

Last Name

Address

City

State

Cell Phone

Zip Code

Home Phone

Are You under 18?

Yes

No

Have you ever been employed here before?

Yes

No

Are you legally eligible for employment in this country?

Yes

No

Date available to start work:

Type of employment desired?

Part-Time

Full Time

Are you able to meet the attendance requirements of the position?

Yes

No

Have you ever been convicted of or pled no lo contendre (no contest) to, had adjudication withheld, been placed on probation for or been convicted of a crime?

Yes

No

Answering yes will not automatically disqualify you from employment. If yes, please explain

Driver’s license number, if job related

Upload Resume (we accept PDF and MS Word)

Employment History 1st Employer

List your last (4) employers, assignments or volunteer activities, starting with the most recent, including military experience.

Lest Start with your most recent one first.

Employer:

Employed From:

Employed To:

Employer Address:

City:

State:

Zip Code:

Supervisor:

Supervisor Title:

Reason For Leaving:

Employment History continued. 2nd Employer

Employer:

Employed From:

Employed To:

Employer Address:

City:

State:

Zip Code:

Supervisor:

Supervisor Title:

Reason For Leaving:

Employment History continued. 3rd Employer

Employer:

Employed From:

Employed To:

Employer Address:

City:

State:

Zip Code:

Supervisor:

Supervisor Title:

Reason For Leaving:

Employment History continued. 4th Employer

Employer:

Employed From:

Employed To:

Employer Address:

City:

State:

Zip Code:

Supervisor:

Supervisor Title:

Reason For Leaving:

Skills and Qualifications

Summarize any training, skills, licenses, certificates and/or characteristics of yourself that may qualify you as being able to perform job-related functions for the position for which you are applying

Skills and Qualifications

High School Education

High School Name

Years Completed

DID YOU GRADUATE?

Yes

No

Course of Study

College or University

College or University

Years Completed

Did you graduate?

Yes

No

Course of Study

Trade School or Other

Trade School or Other

Years Completed

DID YOU GRADUATE?

Yes

No

Course of Study

1st References

Name

Phone

Years Known

2nd References

Name

Phone

Years Known

3rd References

Name

Phone

Years Known

It is understood and agreed upon that any misrepresentation by me on this application will be cause for cancellation of this application and/or separation from the employer’s service if I have been employed.

I give the employer the right to investigate all references and to secure additional information about me, if job-related. I hereby release from liability the employer and its representative for seeking such information, and all other persons, corporations or organizations for furnishing such information.

I understand that Phoenix Wood Products is and equal opportunity employer. I also understand that Phoenix Wood Products does not discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant’s consideration for employment on a basis prohibited by local, state or federal law.

This application is current for only 60 days. A the conclusions of this time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary to fill out a new application,

I understand that just as I am free to resign at any time, the employer reserves the right to terminate my employment at any time, with or without cause and without prior notice. I understand that no representative of the employer has the authority to make any assurances to the contrary.

I understand it is this company’s policy not to refuse to hire a qualified individual with a disability because of this person’s need for an accommodation that would be required by the ADA.

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