Bingaman & Son Lumber

Application for Employment

Last Name*

First Name*

Middle Name*

Street Address*

City*

State*

ZIP*

Cell*

Email*

Best time to contact you?*

Are you a U.S. citizen or otherwise authorized to work in the U.S. on an unrestricted basis?*

Yes

Are you looking for Full-Time employment?*

Yes

Are you available for Part-Time work?*

Yes

Have you ever been convicted of a felony?*
(This will not necessarily affect your application nor disqualify you from being hired – the company will consider the gravity of any offense or conduct: the time elapsed since the conviction and/or completion of any jail sentence; and the responsibilities of the job being filled.) (Depending on the job applied for you may be asked to describe conditions).

Yes

Position Applied For*

How did you hear of this opening?*

Have you applied here before?*

Employed here before?*

Friends/Relatives who work here?*

Are you presently employed?*

Yes

May we contact your present employer?*

Yes

Are you currently on "lay-off" status and subject to recall?*

Yes

Date you can start*

Desired starting salary*

High School – Name and Location, Year/Major, Degree

College – Name and Location, Year/Major, Degree

Post-College – Name and Location, Year/Major, Degree

Other Training – Name and Location, Year/Major, Certificate/Degree

In addition to your work history, are there other skills, qualifications, or experience that we should consider?

Are you planning to continue your studies?

Company Name

Address

Telephone

Date Started

Starting Wage

Starting Position

Date Ended

Ending Wage

Ending Position

Name of Supervisor

May we contact your supervisor?

Yes

Responsibilities

Reason for Leaving

Company Name

Address

Telephone

Date Started

Starting Wage

Starting Position

Date Ended

Ending Wage

Ending Position

Name of Supervisor

May we contact your supervisor?

Yes

Responsibilities

Reason for Leaving

Company Name

Address

Telephone

Date Started

Starting Wage

Starting Position

Date Ended

Ending Wage

Ending Position

Name of Supervisor

May we contact your supervisor?

Yes

Responsibilities

Reason for Leaving

References

Please list three personal references (NOT FRIENDS OR FAMILY) who have known you for more than one year.

Name

Phone

Years Known

Name

Phone

Years Known

Name

Phone

Years Known

Please Read Before Signing

I certify that all information provided by me on this application is true and complete to the best of my knowledge and that I have withheld nothing that, if disclosed, would alter the integrity of this application.

I authorize my previous employers, schools, or persons listed as references to give any information regarding employment or educational record. I agree that this company and my previous employers will not be held liable in any respect if a job offer is not extended, or is withdrawn, or employment is terminated because of false statements, omissions, or answers made by myself on this application. In the event of any employment with this company, I will comply with all rules and regulations as set by the company in any communication distributed to the employees.

In compliance with the Immigration Reform and Control Act of 1986, I understand that I am required to provide approved documentation to the company that verifies my right to work in the United States on the first day of employment

I understand that employment at this company is "at will," which means that either I or this company can terminate the employment relationship at any time, with or without prior notice, and for any reason not prohibited by statute. I also understand that an offer of employment will not be considered a contract”.

I understand that falsification of any information in the application process will be deemed grounds to reject a candidate or to terminate employment if already hired.

By providing a telephone number and submitting the form you are consenting to be contacted by SMS text message from Bingaman & Son Lumber, Inc. Message frequency may vary. Message & Data rates may apply. Reply STOP to opt out of further messaging. Reply HELP for more information.

All employment is continued on that basis.

PRE-EMPLOYMENT SCREENING

It is Bingaman & Son Lumber, Inc (hereafter Company) policy to ensure that we obtain the best possible employees for the job. As a result, the company may require employees to undergo a pre-employment screening on a post-offer basis. The screening will consist of drug, and alcohol testing.

Once an offer of employment has been given, offerees may be required to undergo a drug and alcohol test. Any offeree who tests positive for drugs and/or alcohol or whose test is determined to be diluted may request a second test, at his/her own expense, to rule out or confirm the presence of prohibited substances in his/her system. The company may rescind the offer of employment to any person who has tested positive or who test is determined to be diluted for drugs and/or alcohol.

The company recognizes that certain substances can have the effect of creating false positives. Offerees will have the opportunity to raise this issue with a medical review officer in the event they believe a false positive result was created.

Acknowledgment

I hereby acknowledge that I have read and understand the above statements.

Signature (Type your full name)*

Date*

Bingaman & Son Lumber

Application for Employment