Employment Application Step 1 of 4 - Personal Details 0% Name* First Middle Last Email Address* Street Address City State / Province / Region ZIP / Postal Code Best Contact Phone Number*Position Desired*Date of Birth* MM slash DD slash YYYY If hired and under the age of 18, can you furnish a work permit?* Yes No N/A Military Service Status* Active Inactive N/A Military BranchAre you legally authorized to work in the United States?*If hired, you will be required to submit proof of your identity and legal work authorization. Yes No Do you have any specific salary requirements?* Yes No Please indicate your salary requirementsHave you ever been convicted of a crime?*Crimes include both misdemeanors and felonies. Yes No Please provide date(s) and detailsDo you have a valid driver’s license?* Yes No Please give a brief description of your driving recordA copy of your driving record will be required before you are hired.Date available to begin work* MM slash DD slash YYYY Skills And QualificationsSummarize any training, skills, licenses and or certifications that may help you perform job related functions in this position Educational BackgroundHIGH SCHOOLSchool NameSchool Location# of Years of StayDid you graduate? COLLEGESchool NameSchool Location# of Years of StayDid you graduate? OTHERSSchool NameSchool Location# of Years of StayDid you graduate? Character ReferencePlease list three professional references who can verify your work history, character and or performance. References should not be relatives and at least one must have directly observed you at some time during your work history.List your references below*NameTitleContact NumberYears Known Employment HistoryPlease complete in full. You may include military service as well as verifiable volunteer work.Current/Last EmployerEmployment DatesType of BusinessJob TitleAddressSupervisor’s NameReason for LeavingCompany Phone NumberMay we contact them? Yes No Current/Latest Rate of Pay at this JobDuties and ResponsibilitiesPrior EmployerEmployment DatesType of BusinessJob TitleAddressSupervisor’s NameReason for LeavingCompany Phone NumberMay we contact them? Yes No Current/Latest Rate of Pay at this JobDuties and ResponsibilitiesPrior EmployerEmployment DatesType of BusinessJob TitleAddressSupervisor’s NameReason for LeavingCompany Phone NumberMay we contact them? Yes No Current/Latest Rate of Pay at this JobDuties and ResponsibilitiesSignatureRead carefully and sign below: 1. I understand that completion of this application does not imply that I will be hired. 2. The information in this application is true and complete. 3. I understand that I may be required to sign a non-compete, confidentiality, and/or business ethics agreement as a condition of employment. 4. I authorize Log Home Artisan, Inc. to verify the statements and information in this application and to contact previous employers or other persons with knowledge of me. 5. I understand that, if hired I have the right to resign at any time with a two week notice. Likewise, Log Home Artisan, Inc. has the right to terminate my employment at any time with or without reason or notice. My signature certifies that I have read and agree with the above statements.Signature*Please use your mouse, touch pad or touchscreen device to append your signature below.Date* MM slash DD slash YYYY EmailThis field is for validation purposes and should be left unchanged. Δ
