Employment Application

Position

Personal Information

First name

Last name

Contact Information

Primary Phone

Secondary Phone

Email address

Address

City

State *

Zip Code

Availability

I am available for any shift

I am available for weekend shifts

I've worked for the Schmidbauer Lumber Family Co before.

I am related to a Schmidbauer Lumber Family Co employee.

Education

Highschool

Name

Location

GraduatedGED

College/University

Name

Major

Degree

Business/Trade School

Name

Course of Study

Certificate/License

Professional Licenses and Certificates

Name

Issued By

Expiraton Date

Employment History

List below all full-time and part-time employment, listing each job seperately. Start with your most current employer. Account for all periods of employment. You must complete this section.

Current or Most Recent Employer

May we contact this employer?

YesNo

Company

Address

Dates Employed

Job Title

Hours per Week

Supervisor

Phone

Duties Performed

Reason for Leaving

Previous Employment

May we contact this employer?

YesNo

Company

Address

Dates Employed

Job Title

Hours per Week

Supervisor

Phone

Duties Performed

Reason for Leaving

May we contact this employer?

YesNo

Company

Address

Dates Employed

Job Title

Hours per Week

Supervisor

Phone

Duties Performed

Reason for Leaving

I have documents to upload

I am 18 year of age or older.

*Employment consideration is subject to verification of minimum legal age.

I hereby certify that all statements made in this application are true and I agree and understand that any omission of material fact(s) will cause forfeiture on my part of all rights of employment with Shasta SRM. I authorize investigation of all matters contained in this application. If offered a position, I further agree to submit to a complete medical examination and drug screen by a physician designated by the company as a condition of employment. I must conform to the company's rules and regulations and understand that if offered employment, it is 'at will' thus the company retains the right to end employment at any time.