EMPLOYMENT APPLICATION

 

JIM BISHOP CABINETS, INC.

5640 BELL ROAD  MONTGOMERY, AL  36116

HUMAN RESOURCES DEPARTMENT (334) 288-1381

 

Jim Bishop Cabinets is an equal opportunity employer that does not discriminate against any applicant because of race, color, national origin, religion, gender, sexual orientation, age, disability or for any other protected status.  This application must be completed in its entirety.  Incomplete applications will not be considered.  Please write legibly.

PERSONAL INFORMATION                                                       Date _______/________/________

Name_____________________________________________________________________________________

            First                                          Middle                                                  Last                            

Address___________________________________________________________________________________

            Street                                        City                                          State                 Zip Code

Social Security No.________-________-___________     Driver’s License No.___________________________

Telephone No. (         )           -                 Alternate Phone No’s.: ______________________________________

If you are related to any current Jim Bishop Cabinets employee, please state their name and your relationship:

Employee Referral Name:  ____________________________________________________________________

Have you ever been convicted of a felony?  ______   If “yes”, explain in detail as conviction will not necessarily bar employment: ____________________________________________________________________________

Are you over 18 years of age?  ______   If “no”, employment is subject to verification that you are of minimum legal age.  If you are under the age of 18, what is your date of birth? _______/________/_______

 

EDUCATION

                                           Elementary                      High School                GED                       College

Name of School:              ______________         ___________________                          __________________

Years Completed (Circle)         6  7  8                          9  10  11  12                                              1 2 3 4

Diploma Earned?(Circle)                                                Yes  No                 Yes  No                   Yes  No

Describe specialized training & honors:__________________________________________________________

__________________________________________________________________________________________Do you speak English?  __________      Do you speak Spanish?  __________

 

EMPLOYMENT DESIRED

                                                                     (Circle one.)

Position: ________________________      Regular or Part-time?       Preferred Shift (Circle):  1st    2nd     Any

What date can you start? ________________________     Are you currently employed? ______May we inquire

of your present employer? ______  If “no”, explain: ________________________________________________

Have you ever been employed at Jim Bishop Cabinets? ______    If “yes”, provide date of employment, position(s) held and reason for leaving: __________________________________________________________

 

MILITARY SERVICE

 

Have you ever served in the Armed Forces? _________    If  “yes”, what branch: _________________________

Duties and rank in the service? _________________________________________________________________ 

FORMER EMPLOYMENT (List most recent job first, account for entire work history and explain employment gaps.)

Dates:  Month & Year

 

From: ___________    Company Name: _________________________________________Shift Worked:_____

To:     ___________    Address: ________________________________________________________________

                                  Telephone No.: (_____) ______-________     Position held: _______________________

                        Salary: $_________________     Supervisor: ___________________________________

                                   Reason for leaving: _______________________________________________________

 

 

From: ___________    Company Name: _________________________________________Shift Worked:_____

To:     ___________    Address: ________________________________________________________________

                                  Telephone No.: (_____) ______-________     Position held: _______________________

                        Salary: $_________________     Supervisor: ___________________________________

                                   Reason for leaving: _______________________________________________________

 

 

From: ___________    Company Name: _________________________________________Shift Worked:_____

To:     ___________    Address: ________________________________________________________________

                                  Telephone No.: (_____) ______-________     Position held: _______________________

                        Salary: $_________________     Supervisor: ___________________________________

                                   Reason for leaving: _______________________________________________________

 

 

From: ___________    Company Name: _________________________________________Shift Worked:_____

To:     ___________    Address: ________________________________________________________________

                                  Telephone No.: (_____) ______-________     Position held: _______________________

           Salary: $_________________     Supervisor: ___________________________________

                                   Reason for leaving: _______________________________________________________

 

 

Please indicate your experience by putting a check in the column next to the question.

 

 

 

 

 

Yes

No

How Long?

Do you have any woodworking experience?

 

 

 

 

 

 

 

Do you have any wood products assembly experience?

 

 

 

 

 

 

 

Do you have any woodworking machining experience?

 

 

 

 

 

 

 

Do you have any woodworking sanding experience?

 

 

 

 

 

 

 

Do you have any wood finishing experience?

 

 

 

 

 

 

 

Do you have any shipping/receiving experience?

 

 

 

 

 

 

 

Do you have any forklift experience?

 

 

 

 

 

 

 

Do you have any maintenance experience?

 

 

 

 

 

 

 

Do you have any computer experience?

 

 

 

PERSONAL REFERENCES  (Excluding former employers and relatives)

     Name                      Occupation                                Address                                 Telephone No.

1. ________________________________________________________________________________________

    ________________________________________________________________________________________

2. ________________________________________________________________________________________

    ________________________________________________________________________________________

IN CASE OF EMERGENCY, PLEASE CONTACT:

 

Name: _____________________________________________    Relationship: __________________________

 

Address: __________________________________    Employer’s Name: _______________________________

 

Telephone No.’s: (Home)_____-____________   (Work)_____- _____________   (Cell)_____-_____________

 

 

RELEASE:  Having applied for a position with Jim Bishop Cabinets, I hereby authorize them to investigate my past employment record, criminal record and motor vehicle record as part of their employment process.  I further request that my former employers candidly answer any questions which may be asked regarding my past employment record.  I voluntarily waive my right to file legal action against Jim Bishop Cabinets, past employers, individual employees and representatives, based on information provided, regarding my prior employment history, job performance, attendance and drug/alcohol test results.  I further release my former employers from any and all liability for damage of any kind regarding both my work record and any opinions they may have about my job performance and personal character.

 

I HEREBY VERIFY THAT THE INFORMATION PROVIDED IS TRUE, COMPLETE AND ACCURATE, AGREE THAT THE COMPANY MAY INVESTIGATE ALL THE STATEMENTS MADE ON THIS APPLICATION FORM, AND THAT ANY MISREPRESENTATION OR OMISSION IS CAUSE FOR DISMISSAL OR WITHDRAWAL OF AN OFFER OF EMPLOYMENT.  I UNDERSTAND THAT THE COMPANY WILL REVIEW REFERENCES, CREDIT FILES AND CRIMINAL RECORDS AS PART OF THE EMPLOYMENT PROCESS.  I UNDERSTANDTHAT MY EMPLOYMENT CAN BE TERMINATED WITH OR WITHOUT CAUSE BY THE COMPANY OR BY THE EMPLOYEE AT ANY TIME AND I WILL AT ALL TIMES REMAIN AN EMPLOYEE AT WILL. 

 

BY MY SIGNATURE ON THIS APPLICATION FOR EMPLOYMENT, I AGREE THAT IF A DISPUTE ARISES OUT OF OR RELATES TO MY APPLICATION FOR EMPLOYMENT, CANDIDACY FOR EMPLOYMENT, MY COMPENSATION, PROMOTION, DEMOTION, DISCIPLINE, DISCHARGE, TREATMENT OR TERMS AND CONDITIONS OF EMPLOYMENT THAT I BELIEVE WAS A VIOLATION OF A STATUTORILY PROTECTED RIGHT OR WAS IN ANY WAY ILLEGALLY DISCRIMINATORY AGAINST ME OR IS OTHERWISE ACTIONABLE UNDER STATE OR FEDERAL LAW, AND THE ISSUE CANNOT BE RESOLVED THROUGH DIRECT DISCUSSION AMONG THE PARTIES INVOLVED, THE DISPUTE OR CLAIM SHALL BE SETTLED EXCLUSIVELY BY BINDING ARBITRATION IN ACCORDANCE WITH THE EMPLOYMENT DISPUTE RESOLUTION RULES OF THE AMERICAN ARBITRATION ASSOCIATION IN EFFECT ON THE DATE OF THIS AGREEMENT.  I UNDERSTAND THAT THIS AGREEMENT TO ARBITRATE INCLUDES ME AND JIM BISHOP CABINETS, INC. SUBMITTING ALL EMPLOYMENT RELATED DISPUTES BASED ON A LEGAL CLAIM TO ARBITRATION UNDER THE PROVISIONS OF THIS AGREEMENT (AND IF HIRED, THE PROVISIONS THAT ARE MORE COMPLETELY SET OUT IN THE EMPLOYEE HANDBOOK).  I FURTHER AGREE THAT THIS AGREEMENT FORMS A BINDING CONTRACT REGARDING THE ARBITRATION AGREEMENT WITHOUT FORMING A CONTRACT OF EMPLOYMENT BETWEEN ME AND JIM BISHOP CABINETS, INC.  I UNDERSTAND AND AGREE THAT BY ENTERING THIS ARBITRATION AGREEMENT, I DO NOT ALTER MY EMPLOYEE AT WILL STATUS AS STATED AND EXPLAINED ABOVE.  I UNDERSTAND THAT IF ANY PORTION OF THIS AGREEMENT IS FOUND TO BE UNENFORCEABLE, THE REMAINDER OF THE AGREEMENT SHALL REMAIN EFFECTIVE.

 

I UNDERSTAND THAT THIS APPLICATION WILL REMAIN ACTIVE FOR 90 DAYS.  IF HIRED, I UNDERSTAND THAT MY FIRST 90 DAYS OF EMPLOYMENT ARE A PROBATIONARY PERIOD.

 

 

 

Applicant’s signature: ______________________________________         Date: ________/________/_______

 

 

 

APPLICANTS DO NOT WRITE BELOW THIS LINE.

 

 

Interviewed by: ______________________________                                 Date: ________/________/________

 

Starting rate of pay: ___________________________                     Starting date: ________/________/________

 

Starting position: _____________________________       Starting Dept. & Shift: _________________________

 

 

INTERVIEWER’S NOTES: _________________________________________________________________

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