Source Engineering Application for employment

Date

First Name

Middle Name

Last Name

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Cell phone

Home phone

Can we contact you via text?

YesNo

Have you previously APPLIED for employment with us? If YES, please enter date below.

Month

Day

Year

Have you previously WORKED for Lynden Door Company? If YES, please enter date below.

Month

Day

Year

Are you able to work full time?

YesNo

What position are you applying for?

If hired, when can you start?

Month

Day

Year

Are you 18 years or older?

YesNo

Education

High SchoolTechnical TrainingTechnical Training - SpecializedCollege / University

Please list skills or other special training.

Acknowledgement *

I consent to the below statement.I do not consent to the below statement.I herewith certify that all information in this application is correct and complete to the best of my knowledge and belief and that I understand that intentionally false information will result in refusal of employment or termination of employment if discovered after date of hire. I acknowledge that the Company will verify the accuracy and completeness of the information I have provided and I authorize each employer, school, or person I have named to provide information regarding my employment, education, character, and qualifications, and release each employer, school, or person from all liability for any damages that may result from furnishing information to the Company. I understand that if I am employed, I must conform to the Company's rules and regulations and that my employment may be terminated with or without cause at the option of either the Company or myself. This certifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge.