Madrone Custom Cabinetry

APPLICATION FOR EMPLOYMENT

Para esta aplicación en el español, por favor clic aquí

* = required field

We are an Equal Opportunity Employer. It is our policy to abide by all Federal, State, and local laws concerning discrimination in employment. No question in this application is intended to elicit information in violation of any such law nor will information obtained in response to any question be used in violation of any such law.

Personal Information:

* First Name:	* Last Lame:	* Social Security Number:
* Address:		* Telephone Number: ()
* City:	* State:	* Zip Code:	Best Time to Contact:
* E-mail:			Evening Contact Number:

Employment Desired:

* Position:	* Date You Can Start:	* Salary Desired:
Are you Presently Employed? Yes No	If so, may we inquire of your present employer? Yes No

Education History:

Name/Location of School	Yrs Attended	Graduated?	Subjects Studied
Grammar School
High School
College
Trade or Technical School

Special Training or Skills (include equipment types):

U.S. Military or Naval Service:

Rank (s):

Type of Discharge:

APPLICATION FOR EMPLOYMENT

Former Employers (List below last four employers, starting with last one first):

Date
Month & Year Name & Address of
Employer Ending Salary Position Held Reason for Leaving

From:

To:

From:

To:

From:

To:

From:

To:

Additional Information:

Employment Information Authorization and Certification
I authorize the employers I have listed above, and any prior employer of mine, to give you any and all information concerning my previous employment, including any disciplinary information, and any pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing information to you. Also, I hereby waive written notice to me that employment information is being provided by any person or organization.

I certify that, to the best of my knowledge and belief, the answers given by me to the foregoing questions and the statements made by me in this application are correct and complete. I understand that any misrepresentation or omission of facts in this application may disqualify me from further consideration for employment and may result in discipline or dismissal if discovered at a later date.

I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.

This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws.