GANAHL LUMBER CO.

EMPLOYMENT APPLICATION

An Equal Opportunity Employer

DATE:  

1. NAME    

PHONE    

LASTFIRSTMIDDLE

2. ADDRESS 

E-MAIL 

NUMBER AND STREET

    

CITYSTATEZIP

3. POSITION DESIRED  





STORE LOCATION  

4. DATE AVAILABLE  

DESIRED RATE OF PAY  

5. HAVE YOU PREVIOUSLY APPLIED TO OR BEEN EMPLOYED WITH GANAHL LUMBER CO.?

  YES        NO

IF YES, WHEN?    WHERE?    POSITION?  

6. WHO RECRUITED YOU TO GANAHL LUMBER CO?

1. NAME OF PERSON

2. NAME OF ADVERTISEMENT / COMPANY

3. OTHER

7. NAMES OF RELATIVES OR FRIENDS EMPLOYED BY GANAHL LUMBER CO.

8. ARE YOU 18 YEARS OF AGE OR OLDER?           YES          NO                                  CAN YOU SHOW PROOF OF AGE?          YES          NO

9. IF HIRED, CAN YOU SUBMIT VERIFICATION OF YOUR LEGAL RIGHT TO WORK IN THE U.S.?                      YES          NO

10. GANAHL LUMBER CO. OPERATES 7 DAYS A WEEK WITH VARIOUS SHIFTS. ARE YOU ABLE TO WORK ANY ASSIGNED SCHEDULE?

11. HAVE YOU EVER BEEN CONVICTED OF A FELONY?         YES         NO

        IF YES, PLEASE STATE THE CIRCUMSTANCES

12.

    EDUCATION - CIRCLE HIGHEST GRADE COMPLETED:         1        2        3        4        5        6        7        8        9        10        11        12 

    COLLEGE:      1        2        3        4          MAJOR 

DEGREE/UNITS COMPLETED   

    NAME OF COLLEGE/TRADE SCHOOL/OTHER: 

  

13. ADDITIONAL INFORMATION: PLEASE USE THIS SPACE TO GIVE ANY ADDITIONAL INFORMATION ABOUT YOUR QUALIFICATIONS. (limit 250 characters)

CORPORATE OFFICES: 1220 E. BALL ROAD, ANAHEIM, CA 92805-5993






WORK EXPERIENCE

HAVE YOU WORKED UNDER ANOTHER NAME        IF YES,

AT ANY TIME DURING THE LAST 10 YEARS?   YES    NO

STATE NAME:  

POSITIONS HELD DURING LAST 10 YEARS – INCLUDE U.S. MILITARY SERVICE (VOLUNTARY WORK EXPERIENCE MAY ALSO BE LISTED)


  FIRM NAME

PERIOD OF SERVICE (MONTH AND YEAR)

    FROM:    TO:  

  STREET ADDRESS

MONTHLY EARNINGS

    BEGINNING $:    ENDING $:  

  CITY

  STATE

  ZIP

NAME OF IMMEDIATE SUPERVISOR TELEPHONE (INCLUDE AREA CODE)

         

  JOB TITLE AND WORK PERFORMED

  

  REASON FOR LEAVING

MAY WE CHECK WITH CURRENT EMPLOYER?

        YES            NO


  FIRM NAME

PERIOD OF SERVICE (MONTH AND YEAR)

    FROM:    TO:  

  STREET ADDRESS

MONTHLY EARNINGS

    BEGINNING $:    ENDING $:  

  CITY

  STATE

  ZIP

NAME OF IMMEDIATE SUPERVISOR TELEPHONE (INCLUDE AREA CODE)

         

  JOB TITLE AND WORK PERFORMED

  

  REASON FOR LEAVING

MAY WE CHECK WITH CURRENT EMPLOYER?

        YES            NO


  FIRM NAME

PERIOD OF SERVICE (MONTH AND YEAR)

    FROM:    TO:  

  STREET ADDRESS

MONTHLY EARNINGS

    BEGINNING $:    ENDING $:  

  CITY

  STATE

  ZIP

NAME OF IMMEDIATE SUPERVISOR TELEPHONE (INCLUDE AREA CODE)

         

  JOB TITLE AND WORK PERFORMED

  

  REASON FOR LEAVING

MAY WE CHECK WITH CURRENT EMPLOYER?

        YES            NO


PERIODS OF UNEMPLOYMENT Describe each period of unemployment for the past 10 years in excess of 30 days in duration.


FROM TO REASON
MONTH YEAR MONTH YEAR

If more space is needed, use additional sheet  

IN CASE OF EMERGENCY NOTIFY:  

  

RELATIONSHIPNAME

  

ADDRESSPHONE

A.

I understand that any misrepresentation, falsification or material omission of information may result in my failure to receive an offer or, if I have been hired, in my dismissal from employment. In consideration of my employment, I agree to conform to the rules and standards of the Company. Ganahl Lumber Company employs its employees "at-will" which permits the Company to change the terms and conditions of employment with or without notice, with or without cause, including, but not limited to termination, demotion, promotion, transfer, compensation, benefits, duties, and location of work. There is no agreement, express or implied, between the Company and the employee for continuing or long term employment. While supervisors and managers have certain hiring authority, no supervisor or manager or representative of the Company other than the President of the Company has the authority to alter the at-will relationship. To be effective, any change to the at-will relationship must be in writing.

B.

I understand that prior to finalization of any offer of employment, Ganahl Lumber Company will condition the offer of employment on satisfactory completion of a medical examination and drug and alcohol screen. I agree to submit to a medical examination and drug and alcohol screen.

C.

I certify that the information given herein is true and I authorize GANAHL LUMBER CO. to conduct an investigation of these facts.

D.

If I am hired, I will be required to sign a confidentiality agreement.

If you have any questions regarding the above statements, please ask the General Manager or the Human Resources Manager before signing. DO NOT SIGN UNTIL YOU HAVE READ THE ABOVE STATEMENT AND AGREEMENT.


AUTHORIZED BY:

 DATE: 

  (By typing in your name qualifies as a signature)   (Unsigned or incomplete applications will not be considered)


ATTACHMENTS:

    Cover Letter:  

    Resume: