Job Application Form

Personal Information

Name*

First Middle Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Home Phone*

Mobile Phone

Email*

How Did You Hear About Us?

Availability

Date of Application*

Date Available to Work*

Hours Available*

Position Applied For*

Shift(s) Available For*

Days
Swing

Employment Desired (check all that apply)*

Full Time
Part Time

Available for Weekends/Overtime?*

Yes
No

Have you been employed here before?*

Yes
No

If you have been employed here before, when was it?

Which Department did you work in?

If you have a relative or friend who has or still works at NWD, please list:

Are you 18 years of age or older?*

Yes
No

Are you authorized to work in the U.S.?*

Yes
No

(Completion of I-9 form required upon employment)

Skills

If you are applying for a production position indicate the skills that you are trained or experienced in and able to perform, with or without accommodation. If accommodation is required, please specify. (We comply with State and Federal Laws regarding employment of persons with disabilities.)

CPR

Yes
No

First Aid

Yes
No

Forklift

Yes
No

Router

Yes
No

Air Tools

Yes
No

Band Saw

Yes
No

Radial Arm Saw

Yes
No

Steel Tape Measure

Yes
No

Relevant Licenses you possess, State of Issue, and Expiration Date

Summarize skills and qualifications acquired from employment and other experiences that may qualify you for the position you are applying

Education

High School/G.E.D. Name*

High School/GED City and State:

High School/GED Graduated?*

Yes
No

College/University Name

College/University City and State:

Hidden

College/University Course of Study:

College/University Graduated?

Yes
No

Business/Trade School Name

Business/Trade School City and State:

Hidden

Business/Trade School Course of Study:

Business/Trade School # Years Completed:

Business/Trade School Graduated?

Yes
No

Employment History

Please give accurate full time and part time employment record. Start with your present or most recent employer.

Company Name:*

Company Address:*

Employment Dates*

Your Job Title*

Your Responsibilities*

Reason for Leaving*

Company Name:

Company Address:

Employment Dates

Your Job Title

Your Responsibilities

Reason for Leaving

Company Name:

Company Address:

Employment Dates

Your Job Title

Your Responsibilities

Reason for Leaving

Company Name:

Company Address:

Employment Dates

Hidden

Name of Supervisor

Your Job Title

Your Responsibilities

Reason for Leaving

Resume

Upload Resume

Accepted file types: doc, pdf, docx, txt, rtf, Max. file size: 16 MB.

Employee Authorization to Release Employment Reference Information

I request and authorize release of my employment record and work history to Northwest Door, LLC., a prospective employer upon a request for employment reference.

Digital Signature*

Date*

Pre-employment urine drug screen release form

Please read the following carefully before signing this application.

•I understand that a pre-employment drug screen is part of the process of being hired for a position with NORTHWEST DOOR, LLC.

• I have been informed that the purpose of this testing is to determine if there is any "controlled substance or drug" in my body, including marijuana even though it is legal in some states.

• I understand that, as an applicant for initial employment with NORTHWEST DOOR, LLC, refusal to be tested or a positive test may result in withdrawal of any employment offer.

• I CERTIFY that the facts contained in this application are true and complete, and understand that if employed, false, misleading or incomplete statements on this application shall be grounds for immediate dismissal.

• I AUTHORIZE the company to investigate and verify any information contained in my application or pre-hire interviews, including my previous employment, education and background. I further release all parties from all liability for any damage that may result from furnishing or receiving such information.

• I UNDERSTAND and agree that my employment and compensation may be terminated at any time without prior notice, with or without reason, at the option of the company or myself, and understand that no representative of the company, other than the President, has authority to enter into any agreement contrary to the foregoing.

Digital Signature*

Date*

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