Employment Application Form

All applicants will receive consideration without regard to race, religion, color,
national origin, sex, sexual preference, age, veteran status or disability.

We deeply appreciate your interest in our organization and assure you that we are
sincerely interested in your qualifications. A clear understanding of your background
and work history will aid in the position that best meets your qualifications and may
assist us in possible future upgrading.

Please fill out the form below as completely as possible and click the submit button
to email your data to our personnel department.

Please click here to return to the main Employment Opportunities page.

If you have any questions or are having trouble with this online form, please contact
our Human Resources Department.

PERSONAL INFORMATION

Date:  

Phone:  

Email (Required for processing):  

Name:  
(Last)(First)(M.I.)

Present Address:  
No. StreetCityStateZIP

How long have you lived at the above address?  

Previous Address:  
No. StreetCityStateZIP

How long did you lived at this previous address?  

RECORD OF EDUCATION

  School, City, State No. years Completed Course of Study Did you Graduate? Diploma Degree
Elem.:
High:
Other:
College:

Position(s) applied for:  

Pay rate expected $

Indicate Preference:  

On what date would you be available for work?  

Are you at least 18 years of age?  

Are you a U.S. Citizen or otherwise legally eligible for employment in the U.S.?  

Smoking is not allowed Would this cause a problem?  

How did you learn of our organization?  

Have you ever applied here before?     When?  

Have you ever worked here before?     When?  

What are your hobbies or leisure activities?  

MILITARY SERVICE

Branch    Dates   to   Rank  

Type of Separation:  

Reserve/National Guard Status:  

Service Schools Attended:  

RECORD OF EMPLOYMENT

Company: Telephone:
Address: Dates(Mo./Yr.):
Job Title: Last Pay:$
Reason for Leaving:
Company: Telephone:
Address: Dates(Mo./Yr.):
Job Title: Last Pay:$
Reason for Leaving:
Company: Telephone:
Address: Dates(Mo./Yr.):
Job Title: Last Pay:$
Reason for Leaving:

May we contact the employers listed above?  

If not, indicate which ones you do not wish us to contact?  

We, by law, can hire only U.S. Citizens or aliens legally, authorized to work in the United States. If you are not a citizen of legal alien; or if you have falsified your status, you will be terminated immediately.

The facts set forth in my application for employment are true and complete. I understand that if employed, false statements on this application will be considered sufficient cause for dismissal. Nothing on this application or in working at Marion Plywood Corporation shall be construed or imply that employment is permanent or irrevocable. Employment at Marion Plywood Corporation is at will and as an employee I will retain the right to terminate my employment, with or without reason or notice, and the company will retain the same right. I understand that if I am offered employment at Marion Plywood Corporation, I will be given a physical examination which will include a test for the use of illegal drugs. I further understand that if this exam finds that I am physically unable to perform the essential functions of the job for which I was hired, or indicates an illegal use of drugs, my offer of employment will be retracted.

*****This application is only valid for three months, unless renewed.*****

Can you perform the functions of this job with or without reasonable accommodations?  

Please verify this application by typing your initials:  

Please describe any reasonable accommodation would you need to perform the functions of this job: