Employment Application

Name(Required)

First Middle Last

Date(Required)

Address(Required)

Street Address Apt/Suite City State Zip Code

Email(Required)

Phone(Required)

Position Applied For(Required)

Are You At Least 21 Years of Age?(Required)

Yes

No

Briefly Explain Why You Want to Work at LumberjAXE(Required)

Please Fill Out Your Current Weekly Availability and Note Any Activites/Other Commitments That Will Impact Your Availability(Required)

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Notes

Employment Eligibility

Are You a U.S. Citizen?(Required)

Yes

No

Are You Allowed to Work in the U.S.?(Required)

Yes

No

Have You Ever Worked For This Employer?(Required)

Yes

No

Start Date(Required)

End Date(Required)

Have You Ever Been Convicted of a Felony?(Required)

Yes

No

Please Explain(Required)

Education

High School(Required)

City / State(Required)

City State

From(Required)

To(Required)

Graduate?(Required)

Yes

No

Diploma(Required)

College(Required)

City / State(Required)

City State

From(Required)

To(Required)

Graduate?(Required)

Yes

No

Diploma(Required)

Other

City / State

City State

From

To

Graduate?

Yes

No

Diploma

Previous Employment

Employer

Company / Individual

Email

Phone

Address

Street Address Apt/Suite City State Zip Code

Starting pay

Hour or Salary

Hour

Salary

Ending Pay

Hour or Salary

Hour

Salary

Job Title

Responsibilities

From

To

Reason For Leaving

References

Professional Only, No Family

List

Full Name

Relationship

Company

Title

Background Check Consent

If Asked, Are You Willing to Consent to a Background Check?(Required)

Yes

No

Disclaimer

Applicant understands that this is an Equal Opportunity Employer and committed to excellence through diversity. In order to ensure this application is acceptable, please print or type with the application being fully completed in order for it to be considered.

Please complete each section EVEN IF you decide to attach a resume.

I, the Applicant, certify that my answers are true and honest to the best of my knowledge. If this application leads to my eventual employment, I understand that any false or misleading information in my application or interview may result in my employment being terminated.

Signature(Required)

Date(Required)