Employment Application

PERSONAL & GENERAL INFORMATION

Date:

* Name:

* Home Phone #:

* Current Address:

* City:

* State:

* Zip:

* Email Address:

Other Phone:

* Date of Birth:

/ /

* Position or Type of Position Desired:

* Are you legally eligible to work in the U.S.?

Yes No

(If offered employment, you will be required to provide documentation verifying your eligibility.)

* Have you worked at Two Rivers Lumber or any of its affiliates before?

Yes No

Have you ever been convicted of a crime other than a minor traffic offense?:

Yes No

If yes, please explain and provide details:

A conviction record will not necessarily be a bar to employment. Factors such as age at the time of the offense, date of conviction, seriousness and nature of the crime, and rehabilitation will be considered.

Are you available to work overtime?:

Yes No

Are you available to work weekends if needed?:

Yes No

Are you available to work holidays if needed?:

Yes No

If offered a position, date available to start work:

Two Rivers Lumber, is an equal opportunity employer. It is our policy to provide and promote equal employment opportunity to all employees and applicants for employment in accordance with all Federal, state and local laws and regulations governing personnel activities. No person will be discriminated against in employment because of race, color, creed, religion, sex, national origin, age, ancestry, disability, veteran status or any other protected class.

EDUCATION & TRAINING

	School Name	Location (city/State)	Graduated	Course • Diploma/Degree or Certificates Earned	Dates Attended or Year Graduated	Grade Point Avg
High School (Indicate GED if applicable)			Yes No
College			Yes No
Graduate School			Yes No
Correspondence • Night School			Yes No
Technical • Business • Vocational (Include copy of certification)			Yes No

GENERAL ABILITIES & EXPERIENCE

Check all that apply regarding job experience and/or training you have, including length of time you had on-the-job experience:

Log Crane Bobcat Loader Forklift Welding Electrical Other

For each item checked, please describe in detail the amount and type of experience you have:

EMPLOYMENT HISTORY

Provide your full employment record, starting with your current or most recent employment, including U.S. Military Service, full-time and part- time employment. Attach an additional sheet if more space is necessary. If any employment was under a different name, indicate that name. Any periods of employment must include name, address and phone number of a person who can verify the information you have submitted. Do not exclude any employment. Two Rivers Lumber reserves the right to contact all listed employers, except as noted below.

* Previous 1 employers required

Account for any period of time since leaving school (high school or college) that you were not working:

FROM	TO	REASON

Current or most recent employer

* Name:

* From:

* To:

* Are you presently employed?

Yes No

* Address:

* Phone #:

* Position Held:

* Name and Title of Immediate Supervisor:

* Contact Information (phone #):

Starting Rate of Pay:

Current or Ending Rate of Pay:

Describe your job duties, including number and type of employees supervised:

Why do you wish to leave employers?

* May we contact this employer?

Yes No

REFERENCES

Please list below three persons not related to you who have knowledge of your work performance and/or personal qualifications within the last 5 years.

Name	Phone Number	Email	Occupation

Conditions of employment are stated below.
Please read carefully before you sign and submit this application to Two Rivers Lumber
Direct any questions you may have regarding this statement to the Human Resources Department

In exchange for the consideration of my job application by Two Rivers Lumber Co., LLC (hereinafter called “the Company”), I agree that:

Neither the acceptance of this application nor the subsequent entry into any type of employment relationship, either in the position applied for or any other position, and regardless of the contents of employee handbooks, personnel manuals, benefit plans, policy statements, and the like as they may exist from time to time, or other Company practices, shall serve to create an actual or implied contract of employment, or to confer any right to remain an employee of, or otherwise to change in any respect the employment-at-will relationship between it and the undersigned, and that relationship cannot be altered except by a written instrument signed by the President/General Manger of the Company. Both the undersigned and the Company may end the employment relationship at any time, without specified notice or reason. If employed, I understand that the Company may unilaterally change or revise their benefits, policies, procedures and such changes may include reduction in benefits.

I authorize investigation of all statements contained in this application. I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give the Company permission to contact schools, previous employers (unless otherwise indicated), references, and others, and hereby release the Company from any liability as a result of such contract.

I also understand that (1) the Company has a drug and alcohol policy that provides for preemployment testing as well as testing after employment; (2) consent to and compliance with such policy is a condition of my employment; and (3) continued employment is based on the successful passing of testing under such policy.

I understand that, in connection with the routine processing of your employment application, the Company may request from a consumer reporting agency an investigative consumer report including information as to my credit records, character, general reputation, personal characteristics, and mode of living. Upon written request from me, the Company, will provide me with additional information concerning the nature and scope of any such report requested by it.

I further understand that my employment with the Company shall be probationary for a period of sixty (60) days, and further that at any time during the probationary period or thereafter, my employment relation with the Company is terminable at will for any reason by either party.

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Date

Applicant's Name

Call 334-654-8077
Demopolis, AL

Employment Application

Equal Opportunity Employer

Current or most recent employer

Employer

Employer