Application for Employment

Section 1: Personal & Contact Information
Do you certify that you are eligible to work in the United States?*
If you are not eligible to work in the United States, we cannot consider you for employment.
- Yes
Name*
First Middle Last
Address*
Street Address Address Line 2 City State ZIP Code
Your Email Address
Primary Phone*
Secondary Phone

Section 3: Education, Skills, Training & Certifications
Did you graduate from high school?*
- Yes
- No
Name of High School
Address of High School
Street Address Address Line 2 City State ZIP Code
Date of high school graduation.
If you don't know the exact day you graduated, please approximate the day.
MM slash DD slash YYYY
If you did not graduate from high school, how many years did you attend?
Do you have a GED?
- Yes
- No
Date of GED
MM slash DD slash YYYY
Have you attended college?*
- Yes
- No
Which college did you attend?
Did you graduate from college?
- Yes
- No
Degree(s)?
What specific training or certifications do you have?
Have you attended any other schools/colleges or are there any other training or professional certifications, license or affiliations you would like to tell us about?
Please list any technical, clerical, trade or other skills you think may be relevant to your employment with us.

Section 4: Work Experience
Begin with your current or most recent employer. If you held multiple positions with the same organization, detail each position separately.
Most Recent (or current) Position
Job Title
Employer's Corporate Name
Supervisor's Name
Supervisor's Title
Supervisor's Phone
Employer's Address
Street Address Address Line 2 City State ZIP Code
Is this your current position?
- Yes
- No
Date Started
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Is this position:
- Full-Time
- Part-Time
How many hours per week?
Starting Salary
Final (or current) Salary
Describe your duties in this position
Reason for leaving

Previous Position(s)
Job Title
Employer's Corporate Name
Supervisor's Name
Supervisor's Title
Supervisor's Phone
Employer's Address
Street Address Address Line 2 City State ZIP Code
Is this your current position?
- Yes
- No
Date Started
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Is this position:
- Full-Time
- Part-Time
How many hours per week?
Starting Salary
Final (or current) Salary
Describe your duties in this position
Reason for leaving
If you have additional employment you would like to tell us about, please upload a copy of your resume or a document that summarizes that employment.
Max. file size: 300 MB.
Applicant Certification
PLEASE READ CAREFULLY AND ATTEST THAT YOU UNDERSTAND AND ACCEPT THE FOLLOWING: By entering my name in the field below I certify that the information on this application and its supporting documents is accurate and complete. I understand and agree that failure to fully complete the form, or misrepresentation or omission of facts, represents grounds for elimination from consideration for employment, or termination after employment if discovered at a later date. I authorize Congleton Lumber Co. to investigate, without liability, all statements contained in this application and supporting materials. I authorize references and former employers, without liability, to make full response to any inquiries in connection with this application for employment. If requested, I agree to submit to physical exam, criminal background investigation, and/or screening for illegal substances upon conditional offer of employment.
Enter your complete name to attest to the statement above.*
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Phone
This field is for validation purposes and should be left unchanged.

Step 1 of 5

Section 1: Personal & Contact Information

Section 2: Work Qualifications

Section 3: Education, Skills, Training & Certifications

Section 4: Work Experience

Most Recent (or current) Position

Previous Position(s)

Applicant Certification

Congleton Lumber & Design Center

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