Bohlke Production January 20, 2022 MB-Production Apply Online *Name0/50*Date*Address0/200Please provide your full address*Phone NumberE Mail*Social Security (Last 4#)0/4Attach Resume*Position(s) applying for*Salary Desired*Available Start Date*Are you currently employed?Yes No *Emergency Contact*Emergency Contact Phone Number*Relationship*Prompt and regular attendance is a condition of employment. Are you able to meet these attendance requirements? Yes No *Have you ever been previously employed by our organization?Yes No *Are you 18 years or older?Yes No *Have you been convicted of a crime in the last 7 years? If yes, please explain (a conviction will not automatically bar employment).*Are you prevented from lawfully becoming employed in this country because of visa or immigration status?Yes No *How did you hear about this job opening?*List names of any friends or relatives currently employed at M. Bohlke Veneer Corp.*EducationHigh School GED Some College College Graduate Technical School Other *High School Name, City/State*College Name, City/State*Major(s), Degree EarnedOther Training or Degrees*Please provide all employment information for your past 3 employers, starting with the most recent.List employer name, position, address, telephone number, immediate supervisor/title, dates employed, salary, and the job summary.*Please explain any gaps in work history.Write N/A if appropriate.*Have you ever been discharged or asked to resign from a job?Yes No *If yes, please explain.Write N/A if appropriate.Summarize any job-related training, skills, licenses, certificates and/or other qualifications.*List reference (no relatives) - name, telephone number, years known, and relationship.*List reference (no relatives) - name, telephone number, years known, and relationship.*List reference (no relatives) - name, telephone number, years known, and relationship.*Application ContractI agree. I hereby authorize the potential employer to contact, obtain, and verify the accuracy of information contained in this application from all previous employers, educational institutions, and references. I also hereby release from liability the potential employer and its representatives for seeking, gathering, and using such information to make employment decisions and all other persons or organizations for providing such information. I understand that any misrepresentation or material omission made by me on this application will be sufficient cause for cancellation of this application or immediate termination of employment if I am employed, whenever it may be discovered. If I am employed, I acknowledge that there is no specified length of employment and that this application does not constitute an agreement or contract for employment. Accordingly, either I or the employer can terminate the relationship at will, with or without cause, at any time, so long as there is no violation of applicable federal or state law. I understand that it is the policy of this organization not to refuse to hire or otherwise discriminate against a qualified individual with a disability because of that person’s need for a reasonable accommodation as required by the ADA. I also understand that if I am employed, I will be required to provide satisfactory proof of identity and legal work authorization within three days of being hired. Failure to submit such proof within the required time shall result in immediate termination of employment. I represent and warrant that I have read and fully understand the foregoing, and that I seek employment under these conditions.*Name and DatePlease type (or sign, if printed) and date, following reading of the application contract. Fields with (*) are compulsory.