Employment Application

PUKALL LUMBER COMPANY - EMPLOYMENT APPLICATION
An Equal Opportunity Employer

Employment Desired

Personal Information

Have you ever applied to or worked for Pukall Lumber before?
If hired, would you have a reliable means of transportation to and from work?
Are you at least 18 years old? (If under 18, hire is subject to verification that you are of minimum legal age.)

Education, Training, and Experience

Did You Graduate?
Did You Graduate?
Did You Graduate?
Did You Graduate?
Do you have any other experience, training, qualifications, or skills that you feel make you especially suited for work at Pukall Lumber?

Answer the following questions if you are applying for a professional position:

Are you licensed/certified for the job applied for?.
Has your license/certification ever been revoked or suspended?.

Employment History

List below all present and past employment starting with your most recent employer (last five years is sufficient). You must complete this section even if attaching a resume.

Current Employer?
May we contact this employer for a reference?
May we contact this employer for a reference?
May we contact this employer for a reference?

References

List below three persons not related to you who have knowledge of your work performance within the last three years.

Military Service

Present Membership in National Guard or Reserves ?
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Please Read Carefully, Initial Each Paragraph and Sign Below

I understand that the employer follows an "employment at will" policy, in that I or the employer may terminate my employment at any time, or for any reason consistent with applicable state or federal law, this "employment at will" policy cannot be changed verbally or in writing, unless the change is specifically authorized in writing by the chief operating officer of this organization. I understand that this application is not a contract of employment.

If employed, I agree to abide by all of the work and safety rules of the Company. I understand that this Company has a drug an alcohol policy that provides for pre-employment testing. Also, if employed, I realize that the Company conducts post-accident, reasonable suspicion, periodic and/or random drug and/or alcohol testing of its employees, and that consent to and compliance with such policy is a condition of my employment. I have read, understand and agree to the above statement.

I hereby certify that the answers given by me to the above questions and statements are true and correct and hereby authorize you to contact references, schools, law enforcement agencies and firms named therein, except my current employer if so noted, to provide information requested about me, and release them from all liability for damage in providing this information. It is understood and agreed that any misrepresentation, false statement, or omissions by me in this Application will be sufficient reason for rejection of my application or for dismissal at any time during my employment, without liability to the Company.

Thanks for submitting your application!