Timberlake Designs Employment Application

1
Name:* This field is required.
First Name
Last Name
2
Birth Date* This field is required.
Month
Day
Year
3
Phone Number:* This field is required.
Area Code
Phone Number
4
E-mail Address:
5
Address:* This field is required.
Street Address
Street Address Line 2
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6
How were you referred to us?* This field is required.
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Employee
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7
Other:
8
Upload Resume:If unavailable, click NEXT
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9
Training or Certifications:If none, click NEXT
10
High SchoolEducation
High School
City
Year Started
Year Ended
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No
Did you graduate?
GED
Diploma
11
CollegeEducation
College
City
Year Started
Year Ended
Yes
No
Did you graduate?
GED
Diploma
12
Employer 1If not applicable, click NEXT
Name of Employer
City, State
Full-Time
Part-Time
Full/Part Time
Wages/Hr
Supervisor Name
Yes
No
May we contact the employer/supervisor?
Supervisor/Employer Phone #
13
Employer 2If not applicable, click NEXT
Name of Employer
City, State
Full-Time
Part-Time
Full/Part Time
Wages/Hr
Supervisor Name
Yes
No
May we contact the employer/supervisor?
Supervisor/Employer Phone #
14
Employer 3If not applicable, click NEXT
Name of Employer
City, State
Full-Time
Part-Time
Full/Part Time
Wages/Hr
Supervisor Name
Yes
No
May we contact the employer/supervisor?
Supervisor/Employer Phone #
15
Reference 1If not applicable, click NEXT
Reference Name
Relationship with Reference
Years known
Reference Phone #
16
Reference 2If not applicable, click NEXT
Reference Name
Relationship with Reference
Years known
Reference Phone #
17
Reference 3If not applicable, click NEXT
Reference Name
Relationship with Reference
Years known
Reference Phone #
18
Yes
No
Are you a current citizen of the United State?
Yes
No
If No, are you authorized to work in the United States?
Yes
No
Have you ever been convicted of a felony?
If Yes, please explain
19
YES
NO
Have you served in the United States Armed Forces?
YES
NO
If YES, were you honorably discharged?
What is your career field?
20
YES
NO
Do you have carpentry experience?
YES
NO
Do you have Interior Design experience?
21
Why do you feel that you would make a great team member at Timberlake Designs?
22
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