Apply Online - Join The Timber Technologies Team To be considered for a position on our team, please fill out the pre-employment questionaire below. Fields marked with an asterisk (*) are required. Personal Information First Name * Middle Name Last Name * Present Address * Permanent Address Phone Number * Please include area code Are You 18 Years Or Older? * No Yes Are you prevented from lawfully becoming employed in this country because of visa or immigration status? * No Yes Employment Information Desired Position Position Start Date Salary Desired Current Employer Are you employed now? No Yes May we contact your present employer? No Yes Company Information Have you applied to this company before? No Yes Where? When? Referred By Education Grammar School Name Number of Years Attended Did you Graduate Subjects Studied High School Name? Number of Years Attended Did you Graduate Subjects Studied College Name Number of Years Attended Did you Graduate Subjects Studied Trade, Business or Correspondence School Name Number of Years Attended Did you Graduate Subjects Studied General Interests, Skills, and Activities Subjects of Special Study or Research Work Special Skills Activities: (Civic, Athletic, Etc.) Military Service U.S. Military Or Naval Service Rank Current membership in Military No Yes Former Employers Employer 1 Name Salary Position Reason for Leaving Start Date End Date Employer 2 Name Salary Position Reason for Leaving Start Date End Date Employer 3 Name Salary Position Reason for Leaving Start Date End Date Employer Information Which of these jobs did you like the best? What did you like most about this job? References Reference 1 Name Address Business Years Acquainted Reference 2 Name Address Business Years Acquainted Reference 3 Name Address Business Years Acquainted The following statement applies in: Maryland & Massachusetts. (Fill in Name of State) It is unlawful in the state of to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability Signature of Applicant In case of emergency notify Name Address Phone "I CERTIFY THAT ALL THE INFORMATION SUBMITTED BY ME ON THIS APPLICATION IS TRUE AND COMPLETE, AND I UNDERSTAND THAT IF ANY FALSE INFORMATION, OMISSIONS, OR MISREPRESENTATIONS ARE DISCOVERED, MY APPLICATION MAY BE REJECTED AND, IF I AM EMPLOYED. MY EMPLOYMENT MAY BE TERMINATED AT ANY TIME. IN CONSIDERATION OF MY EMPLOYMENT, I AGREE TO CONFORM TO THE COMPANY'S RULES AND REGULATIONS, AND I AGREE THAT MY EMPLOYMENT AND COMPENSATION CAN BE TERMINATED, WITH OR WITHOUT CAUSE. AND WITH OR WITHOUT NOTICE, AT ANY TIME, AT EITHER MY OR THE COMPANY'S OPTION. I ALSO UNDERSTAND AND AGREE THAT THE TERMS AND CONDITIONS OF MY EMPLOYMENT MAY BE CHANGED, WITH OR WITHOUT CAUSE, AND WITH OR WITHOUT NOTICE, AT ANY TIME BY THE COMPANY. I UNDERSTAND THAT NO COMPANY REPRESENTATIVE, OTHER THAN IT'S PRESIDENT, AND THEN ONLY WHEN IN WRONG AND SIGNED BY THE PRESIDENT, HAS ANY AUTHORITY TO ENTER INTO ANY AGREEMENT FOR EMPLOYMENT FOR ANY SPECIFIC PERIOD OF TIME, OR TO MAKE ANY AGREEMENT CONTRARY TO THE FOREGOING. Date Signature
