EmailMe Form - Appalachian Wood Products Employment Application

Name *

First Middle Last

Date

SS#

Address *

Street Address City State / Province / Region Postal / Zip Code

Home Phone *

### - ### - ####

Cell Phone

### - ### - ####

All applicants must be 18 years of age or over. Are you over 18 years of age?

Email *

Employment Position Desired

Do you have the legal right to work in the US?

Salary Desired

Prior AWP Employment? If so, when

Are you currently employed?

May we contact your employer?

Type of Employment (FT/PT) Shift?

Are you able to perform the essential functions of the job for which you are applying with or without reasonable accommodation? This question is not designed to elicit information about an applicant's disability. Do not provide information about the existence of a disability, particular accommodation or whether an accommodation is necessary.

High School Name, address

College/Vocational School Continuing Education Name/Address

Special skills, qualifications, certifications or licenses:

References - list three professional referneces (non family members) - include phone and relationship and years known

Employer Information - Job History

Please describe past and present employment positions, dating back five years or four jobs (whichever is greater). Please account for all periods of employment.

Name, Address of employer. Include supervisors name, phone, and job title.

Please enter ending salary, job duties and length of employment, as well as reason for leaving.

May we contact this employer?

Name, Address of employer. Include supervisors name, phone, and job title.

Please enter ending salary, job duties and length of employment, as well as reason for leaving.

May we contact this employer?

Name, Address of employer. Include supervisors name, phone, and job title.

Please enter ending salary, job duties and length of employment, as well as reason for leaving.

May we contact this employer?

Applicant Statement

I understand that if I provide false information, I will no longer be considered for employment. If the false information is discovered after I am hired, I understand that the false information will be grounds for immediate dismissal.

I authorize an investigation of all my statements contained herein and the references listed above to give you any and all information concerning my previous employment and any pertinent information they may have.

I release all parties from liability for any damage that may result from furnishing the information to you. I understand and agree that if hired, my employment is at will and is for no definite period. Either me or AWP may terminate the employment relationship at any time with or without cause or with or without notice except where notice may be required by law.

I understand that no supervisor or representative of the employer is authorized to make any type of assurance for my continued employment for any specific period of time or imply any type of contract, oral or written without my expressed written approval of the company president.
I understand that if hired, my employment is contingent on supplying AWP with proof that I am legally eligible to work in the US as required by Federal immigration laws and will be required to complete an I-9 Form.

I understand that this application remains current for a two (2) year period. After the two (2) year period, if I want to be considered for any open positions at AWP, I am required to reapply and complete another application.

I understand that this form has been designed to comply with state and federal fair employment practice laws prohibiting employment discrimination. No question on this application is intended to elicit information in violation of any such law nor will any information obtained in response to any question be used in violation and such law.

I further understand that no question on this application is used for the limiting or excluding an applicant from employment based on any title VII of the civil rights act of 1964 or any other federal, state or locally protected right.
Appalachian Wood Products, Inc. is an Equal Opportunity Employer and does not tolerance unlawful discrimination in its employment practices.

I certify that I read, fully understand and accept all the terms of the applicant statement.

Signature

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