Telephone Number where you can be reached:
Are you 18 years or older?
Have you ever been convicted of a felony within the last 7 years, which has not been annulled, expunged, or sealed by the court?
(A “Yes” answer will not automatically disqualify you.)
If “Yes”, please explain conviction: when, where, and disposition:
Has the Company previously employed you?
If “Yes”, Date:
Have you submitted an application to the Company before?
If “Yes”, Date:
How were you referred for this position:
Position Applied For:
Will you work on Saturday when your work schedule requires it?
Logging or Related
Climbing with rope & saddle
Standard Transmission Truck & Trailer
If Other, Please Explain:
Has your Driver’s License ever been revoked or suspended?
If “Yes”, for what reason:
List any moving violations during the last 3 years:
Do you have a CDL (commercial driver’s license)?
If no, can you obtain one?
Air Brakes T P S N H
(Required: CDL-B with Air Brakes)
Do you have a valid DOT Physical Card?
If no, can you obtain one?
Highest grade completed:
Name and location of high school:
Schools (other than high school)
location, major course of study, dates attended & degree
(Armed Forces of the United States or State Militia)
Branch, Date entered, Date discharged, Rank at discharged,
Reserve status, and special training.
List below, beginning with the most recent, all present and past employment:
2nd Last Employer:
If more space is needed to list employment, please continue:
Please provide the names of three unrelated persons who have known you for more than a year.
In case of emergency, contact:
Understanding & Authorization
I certify that all of the information furnished on this application is true, complete, and correct. I understand and agree that any falsification, misrepresentation, or omission of fact either on this application or during the pre-hire process will be reason for (1) my not being offered employment or (2) dismissal at any time from the service of the Company if employed.
I understand and agree that my employment and compensation is at will and may, regardless of the time and manner of payment of my wages and salary, be terminated at any time by me or the Company, with or without cause, and without any previous notice. I also understand and agree that the Company has the right to unilaterally modify and/or terminate any policies, practices, procedures, and standards it has adopted or implemented, to the extent not limited by law or the contract between the parties. I acknowledge that no Company employee or representative has either the power or authority to enter into any agreement for employment for any specified period to enter into any agreement for employment for any specified period of time, or to make any representations or agreements contrary to any of the foregoing, unless that agreement is in writing and signed by an Authorized Member of the Company. I understand that any prior representations, promises, contracts, or statements made by or on behalf of the Company are expressly superseded by the foregoing, I also understand that if I change my employment from working for the Company to working for another company which is a parent, subsidiary, or affiliate of the Company, or which is controlled by, controlling, or under common control with the Company, the terms of this Application will control my employment with the other Company unless there is a written agreement contrary to the terms of the Application, signed by the authorized Member of the Company, or if I sign an Application for the other Company. This paragraph applies unless an employment agreement or other covenant exists containing conflicting terms, in which case the conflicting terms of the employment agreement or covenant will control and all other terms will be enforceable.
I authorize a thorough investigation of my past employment, agree to cooperate in such investigation and release all persons from liability and responsibility requesting or supplying such information.
I understand that according to federal law, all individuals who are hired must, as a condition of employment, produce certain documentation to verify their identity and citizenship, or if aliens, their legal authorization to work in the U.S. As a consequence, I understand that any offer of employment would be contingent on my ability to produce required documentation within the time period required.
If hired applicant will need to provide Social Security Number and a Copy of Driver's License.