Your details

Applicant information

Last name *

First name *

Middle

Street address

City

State

ZIP

Telephone *

Alternate telephone

Email address

Best time to reach you

Position & availability

Position applying for *

Date available to start

Type of work desired Full-Time Part-Time Temporary / Contract

Will you work overtime? Yes No

If hired, can you provide evidence you are authorized and of legal age to work in the U.S.? * Yes No

Date of birth

Used for employment eligibility and background screening only.

In case of emergency, notify

Name

Telephone

Relation to applicant

Education

School name / location

Course of study

Yrs.

Degree / diploma

High School

Business / Technical

College

Graduate

Other

Skills & work history

Skills & certifications

Special skills

First-aid training? Yes No

Date completed

CPR training? Yes No

Date completed

Commercial Driver's License (CDL)? Yes No

Class

Endorsement(s)

CDL applicants complete additional driver forms (driving record, safety performance history) during hiring.

Employment history

List all jobs and contracts held during the past five (5) years, most recent first.

Current / most recent employer

Company name

Telephone

Address

City

State

ZIP

Position held

From (m/y)

To (m/y)

Starting pay

Ending pay

Reason for leaving

Supervisor

Previous employer

Company name

Telephone

Address

City

State

ZIP

Position held

From (m/y)

To (m/y)

Starting pay

Ending pay

Reason for leaving

Supervisor

Previous employer

Company name

Telephone

Address

City

State

ZIP

Position held

From (m/y)

To (m/y)

Starting pay

Ending pay

Reason for leaving

Supervisor

Previous employer

Company name

Telephone

Address

City

State

ZIP

Position held

From (m/y)

To (m/y)

Starting pay

Ending pay

Reason for leaving

Supervisor

Military & references

Military service

Have you served in the U.S. Armed Services? Yes No

Branch

Start / end dates

Rank at discharge

Type of discharge

Special training / experience received

Personal references

Reference 1

Name

Phone

Occupation

Relationship

Reference 2

Name

Phone

Occupation

Relationship

Reference 3

Name

Phone

Occupation

Relationship

Review & sign

Criminal history

A conviction will not necessarily disqualify you from employment.

Have you ever been convicted of a criminal offense? Yes No

Do you currently have any criminal actions pending in which you are the defendant? Yes No

Are you currently on probation or parole? Yes No

If yes to any: nature of offense, date, county and state

Applicant’s statement & signature

I affirm that the information provided on this application and any accompanying letters or resume is true and complete, and understand that false or misleading information or significant omissions may disqualify me from consideration or result in dismissal if hired. I authorize the Company to investigate my background, including criminal records and the employers listed above, and release and hold harmless my prior employers for providing information. I agree to submit to any drug test required by the Company and understand that refusal will disqualify me from employment. I agree to present documentation proving my eligibility to work in the United States, and understand that failure to do so voids any offer of employment. I understand that, if hired, my employment is at-will — for no specific period, terminable by the Company or me at any time, with or without cause or notice — and that this application is NOT a contract of employment.

Type your full name to sign *

Typing your name here has the same effect as signing on paper.

About our hiring process. Applications are accepted only for current openings and remain active for 60 days. Only applicants selected for an interview will be contacted; internal candidates may be considered alongside external applicants. This application does not guarantee an interview or an offer. All offers are contingent on a satisfactory background investigation, drug screen, and fitness-for-duty assessment, and are not final until confirmed in writing.

Initials

Please initial to confirm you have read the paragraph above.

Trouble with the form? Call (208) 743-4278 or come by 3900 Industrial Way, Lewiston.

Employment application

Your details

Skills & work history

Military & references

Review & sign