ACCIDENTS AND VIOLATIONS
ACCIDENTS IN THE PAST THREE YEARS
(List most recent first - attach additional sheets if necessary)
TRAFFIC CONVICTIONS IN THE PAST THREE YEARS
(List most recent first - attach additional sheets if necessary)
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EDUCATION AND TRAINING
Please provide the following information about completed education, starting with the most recent.
Please provide three personal references. These references should not be people related to you nor former supervisors.
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PLEASE READ
By signing below, I certify that the answers and information provided on this form are true, accurate and complete to the best of my knowledge. I understand that if any answer is not true, accurate, or complete, I may not be hired, or if hired, I may be discharged.
I understand that this employer will investigate my work and personal history, character, and qualifications to verify all information given on this application, on related papers, and in interviews. Except for those that I have specifically noted, I authorize any firms, individuals, references, and schools named on the form to provide this employer with information regarding my work history, educational history, or character and to cooperate fully with the investigation of my qualifications. I authorize them to provide any information requested about me and I release them from all liability for damage in providing this information.
I understand that this employer may perform a background check in the areas of criminal history and presence on any sex offender, child abuse or adult abuse registries. By my signature below, I specifically authorize any private or public entities to provide this employer with information regarding my background, including, but not limited to, criminal history and whether my name is present on any child or adult abuse registries. I authorize these private or public entities to provide any information this employer requests about me and release them from all liability in providing this information.
I understand that this employer follows an "employment at will" policy, which means that they or I may terminate my employment at any time and for any reason consistent with applicable state or federal law. I understand that this application is not a contract of employment. I acknowledge that no oral representation has been made. If I am hired, I agree to conform to the rules and expectations provided to me by this employer.
I understand that this application is considered current for 90 days. If I want to be considered for employment after that time, I must renew my application in writing.
Mead Lumber is a drug free workplace. Pre-employment tested is required. All employment offers are contingent upon a negative drug screen.
Digital Signature
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