Bison Lumber Job Application Thank you for your application. Someone from Bison Lumber will contact you shortly. New Application Bison Lumber Job Application Personal Information First Name Middle Name Last Name Date Social Security Number Phone Number Street Address City, State, Zip Code General Information Are you eligible to work in the United States? Yes No Are you under the age of 25? Yes No Have you been convicted of or pleaded no contest to a felony? Yes No If yes, please explain: Valid Driver’s License & Clean Record? Yes No Do you have a CDL? Yes No Can you operate a manual transmission? Yes No Have you ever been convicted of a DUI? Yes No Do you have any substance abuse problems (drugs or alcohol)? Yes No Do you have any physical limitations that would prevent you from performing the job you are applying for? Yes No Position / Availability Position Applied For Date Available to Start Education Name and Address Of School - Degree/Diploma - Graduation Date Skills and Qualifications Licenses, Skills, Training, Awards Employment History Present or Last Position Employer Phone Address Supervisor Email Position Title Salary From To Responsibilities Reason for Leaving Previous Position Employer Phone Address Supervisor Email Position Title Salary From To Responsibilities Reason for Leaving May We Contact Your Present Employer? Yes No References Name / Title / Address / Phone I certify that information contained in this application is true and complete and authorize Bison Lumber to check any or all references unless otherwise noted. I understand that false information may be grounds for immediate termination of employment at any point in the future if I am hired. I authorize the verification of any or all information listed above. Signature (Type Full Name) Date SEND APPLICATION