Koopman Lumber Application for Employment
Federal and State laws prohibit discrimination in employment because of sex, age, race, color, religious creed, marital status, sexual orientation, national origin, ancestry, citizenship, service in the Armed Forces of the United States, disability, genetic information, or any other protected classification.
  • PERSONAL INFORMATION

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  • You will be required to furnish proof of lawful work status if you are extended a job offer in accordance with the Immigration Reform and Control Act of 1986.
  • EMPLOYMENT DESIRED

  • Select all that apply.
  • Select all that apply.
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  • This is not a guaranteed amount.
  • EDUCATION

  • SKILL AND QUALIFICATIONS

  • EMPLOYMENT HISTORY

    Please list employment history here, even if attaching résumé.
  • Dates Employed (From/To) Name/Address of Employer Supervisor Name Position Held Salary Start/End Reason for Leaving
    1
  • Dates Employed (From/To) Name/Address of Employer Supervisor Name Position Held Salary Start/End Reason for Leaving
    2
    3
    4
    5
  • REFERENCES

  • Name Occupation Phone
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  • APPLICANT'S STATEMENT

    I have read and fully understand the questions asked in this application. I understand that this application is not an offer or contract of employment. If hired, I understand that any employment will be on a 90-day introductory basis and that may employment may be terminated with or without cause or notice, at any time, at either my option or that of Koopman Lumber. I understand that no management representative has any authority to enter into any agreement for continuing employment for any specific period of time or which is contrary to the foregoing without a written agreement signed by an owner and me. I give Koopman Lumber permission to contact all or any of my previous employers and references and authorize them to provide all information requested of them by Koopman Lumber, and release and hold harmless all persons and entities from liability for doing so. After a tentative offer of employment has been made, if requested by Koopman Lumber, I agree to take a physical examination at no personal expense and authorize the examining physician to disclose the findings to Koopman Lumber. I also agree to take a drug test and authorize the testing facility to disclose the findings to Koopman Lumber. I understand that any offer of employment is conditioned upon receipt of passing the drug test, satisfactory references and satisfactory completion of such physical examination.
    I have provided truthful and complete responses to all inquiries in the application and understand that the discovery of any falsification or omission constitutes a ground for immediate dismissal.
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