Job Application – Nelson Wood Shims

Job Application Form

Application Form

Nelson Wood Shims is an Equal Opportunity Employer Applicants are considered for all positions without regard to race, color, creed, religion, sex, pregnancy, childbirth or related medical conditions, sexual orientation, gender identity, national origin, age, physical or mental disability, marital status, familial status, veteran status, status with regard to public assistance, membership or activity in a local commission, or any other characteristic protected by law. As you complete this Application, please do not include any information that would identify you or disclose information related to the characteristics listed above.

Information(Required)

First Name Middle Name Last Name

Your Email Address

Mobile Number(Required)

Home Phone Number(Required)

Address(Required)

Adress 1 Adress 2 City State ZIP / Postal Code

Available to Start(Required)

How did you hear about us?(Required)

Referred by

Have you worked for us before? If so, when? Why did your employment end?(Required)

YES

If yes, when? Why did your employment end?

Are you available to work at any time of the day or week as needed, including weekends and overtime?(Required)

YES

If no, please explain any work scheduling limitations.

EDUCATION HISTORY

School Name(Required)

Area of Study(Required)

School Type(Required)

Did you graduate?

Yes

Not yet

City(Required)

State(Required)

Additional Education History?

Click Here to Add

ADDITIONAL EDUCATION HISTORY

School Name

Area of Study

School Type

Did you graduate?

Yes

Not yet

City

State

WORK HISTORY

Company Name

Company Phone Number

Supervisor

Job Title

Responsibilities

Company Address(Required)

Adress 1 Adress 2 City State ZIP / Postal Code

Date Started(Required)

Date Ended

Reason for Leaving

May we contact the employer(s) listed above?(Required)

YES

If no, please explain.(Required)

ADDITIONAL WORK EXPERIENCE?

Click Here to Add More

ADDITIONAL WORK HISTORY

Company Name

Company Phone Number

Supervisor

Job Title

Responsibilities

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Date Started

Date Ended

Reason ror Leaving

May we contact the employer(s) listed above?

YES

If no, please explain.

ADDITIONAL WORK EXPERIENCE?

Click Here to Add More

Additional Work Experience

Company Name

Company Phone Number

Supervisor

Job Title

Responsibilities

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Date Started

Date Ended

Reason for Leaving

May we contact the employer(s) listed above?

YES

If no, please explain.

Work Authorization

If hired, can you furnish proof that you are 18 years of age or older?(Required)

YES

If hired, can you furnish proof that you are authorized to work in the United States?(Required)

YES

If hired for a position that requires driving, can you furnish a current, valid, and unrestricted driver license?(Required)

YES

Have you ever worked in a position similar to the one for which you are applying? If yes, please explain(Required)

Do you have experience in using tools or equipment which might be helpful on this job? If yes, please explain.

Do you have any special qualifications, skills, experience or training that qualify you for the position for with you are applying? If yes, Please explain.(Required)

REFERENCES

Reference 1(Required)

Email Address 1(Required)

Phone Number 1(Required)

Reference 2(Required)

Email Address 2(Required)

Phone Number 2(Required)

Reference 3(Required)

Email Address 3(Required)

Phone Number 3(Required)

Acknowledgement

APPLICANT STATEMENT

Please read the following section carefully before signing. Initial each paragraph and sign below.

The information I have provided in this application is true and complete to the best of my knowledge. [ understand and agree that any omission or misstatement contained in this application or other material I may provide to Nelson Wood Shims (eg, a resume), shall be grounds for rejection of this application or, if I am hired by Nelson Wood Shims, immediate termination of my employment.

I understand and agree that if I am hired by Nelson Wood Shims, 1 will be employed on an at—will basis. That means that either Nelson Wood Shims or I may terminate the employment relationship at any time and for any reason, or for no reason. with or without prior notice. I understand and agree that nothing contained in this application, conveyed during any interview which I may be granted, or contained in any company policy statement, is intended to alter the at-will employment policy or to otherwise create an express or implied employment contract between me and Nelson Wood Shims I further understand and agree that nobody at Nelson Wood Shims, Inc, other than the Human Resources Manager, can alter the at—will policy or enter into an employment agreement with me for any specified period of time, and that even the Human Resources Manager can only enter into such an agreement if it is in writing and signed by the Human Resources Manager.

I authorize Nelson Wood Shims to contact and thoroughly investigate my references, work history and other information provided in this application and/or my resume in order to make an employment decision. Unless I speciﬁcally stated otherwise in writing on the application, I authorize my current and former employers, my schools, and my listed references to disclose to Nelson Wood Shims any requested information. I release Nelson Wood Shims and its employees, agents and representatives, my current and former employers and their employees, agents and representatives, my current and former schools and their employees, agents and representatives, and the listed references from any and all claims or liability arising out of or associated with such investigation or disclosure.

I am not subject to a non-competition, non-solicitation, conﬁdentiality or non-disclosure, or any other agreement that would interfere with or prevent me from working for Nelson Wood Shims

If I receive a conditional offer of employment from Nelson Wood Shims, I understand that the offer is contingent upon the following:

- I will be required to consent, submit to, and pass a drug test pursuant to Nelson Wood Shims’s drug testing policy. I understand that I have the legal right to refuse to be tested, but that if I refuse the conditional offer of employment will be revoked and I will not be hired.

~ I will need to pass a criminal background check.

- I will be required to provide proof of my identity and that I have the legal right to work in the United States.

- I will be required to execute a Non-Compete Agreement.

If I am hired by Nelson Wood Shims, I agree that I will comply with any and all Company policies and procedures.

I have read and accept the above acknowledgement

Signature(Required)

Date(Required)

72457

Job Application Form

Application Form

EDUCATION HISTORY

ADDITIONAL EDUCATION HISTORY

WORK HISTORY

ADDITIONAL WORK HISTORY

Additional Work Experience

Work Authorization

REFERENCES

NELSON WOOD SHIMS
P.O. BOX 395
COHASSET, MN 55721

800-441-7390

CATEGORIES

MENU

Job Application Form

Application Form

EDUCATION HISTORY

ADDITIONAL EDUCATION HISTORY

WORK HISTORY

ADDITIONAL WORK HISTORY

Additional Work Experience

Work Authorization

REFERENCES

NELSON WOOD SHIMSP.O. BOX 395COHASSET, MN 55721800-441-7390

CATEGORIES

MENU

NELSON WOOD SHIMS
P.O. BOX 395
COHASSET, MN 55721

800-441-7390