Larry's Lumber and Supply, Inc. Is an equal opportunity employer with a policy of hiring and promoting one the basis of qualifications, proven ability, and level of contribution without regard to race, color, religion, sex, sexual orientation, gender, physical condition, national origin, marital

Applicant Information

Name *

First

Last

Phone Number *

Email *

Present Address (Including apartment/unit #) *

Address Line 1

City

State

Zip Code

Date of birth *

Are you at least 16 years of age? *

Are you at least 18 years of age? *

If hired, can you provide verification of your legal right to work in the United States? *

If required for the position, do you have a driver's license? *

Do you have access to reliable transportation to and from our location in Bloomsburg? *

Yes
No
Maybe

Have you previously applied for employment with this Company? *

If Yes, when did you apply? *

Position & Availability

Type of employment desired: *

Full-time
Part-time
Temporary/Seasonal

Single Line Text

Which position(s) are you interested in? *

Yard Person
Inside Sales
Class A | CDL Driver
Class B | CDL Driver

Do you currently hold a Commercial Driver's License (CDL)? *

Yes
No
Other

List all endorsements you carry. *

Are you willing to work overtime? *

Yes
No
Maybe

Wage/Salary Desired *

When can you begin your employment with Larry's Lumber? *

If hired, how long do you intend to work for us? *

0-6 months
6 months - 1 year
1 - 2 years
More than 2 years

Education Information

Education

High School
College
Bus | Tech | Trade or Post College

School Name and Location (Address, City, State)

Course of Study

Graduate

# of Years Completed

Degree/Major

Add another education

Education

High School
College
Bus | Tech | Trade or Post College

School Name and Location (Address, City, State)

Course of Study

Graduate

# of Years Completed

Degree/Major

Add another education

Education

High School
College
Bus | Tech | Trade or Post College

School Name and Location (Address, City, State)

Course of Study

Graduate

# of Years Completed

Degree/Major

Employment History

Please list the names of your present and/or previous employers in chronological order with present or most recent employer listed first. Provide information for at least the most recent ten (10 year period. If self-employed, supply firm name and business references. You may include any verifiable work performed on a volunteer basis, internships, or military service. Your failure to completely respond to each inquiry may disqualify you for consideration from employment

Employer

Business Name

Position

Start date

End date

Reason for leaving

Leave blank if still currently employed.

Job duties and accomplishments

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Name of employer (2)

Business Name

Position

Start date

End date

Reason for leaving

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Job duties and accomplishments

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Name of employer (3)

Business Name

Position

Start date

End date

Reason for leaving

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Job duties and accomplishments

References

Please list the names of additional work-related references we may contact. Individuals with no prior work experience may list school or volunteer-related references.

Name

Position

Company

Work Relationship

Telephone

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Name

Position

Company

Work Relationship

Telephone

Additional Information

List any additional skills that may make you a more qualified candidate.

If you have a resume, you may upload it here:

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By submitting this application, I certify that the above information contained herein is true, correct and complete to the best of my knowledge. If employed, any misstatement or omission of fact on this application may result in my dismissal.

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Additional Information

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