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Winder Flooring

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Name:*

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Address:*

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Email:*

Are you a citizen of the United States?*

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No

If no, are you authorized to work in the U.S.?

Yes

No

Have you ever worked for this company?*

Yes

No

If yes, when?

Have you ever been convicted of a felony?*

Yes

No

If yes, explain?

Job requirements

Repetitive lifting of 50+ pounds*

Yes

No

Ability to read a tape measure accurately*

Yes

No

Ability to kneel, bend, and stand for extended periods*

Yes

No

Valid driver’s license and reliable transportation*

Yes

No

Ability to pass a background check*

Yes

No

Ability to pass a drug test*

Yes

No

Showing up daily on time is very important, is this something you can do?*

Yes

No

References

Please list three professional references.

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First Last

Relationship:*

Company:*

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Address:*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Name:*

First Last

Relationship:*

Company:*

Phone:*

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Previous Employment

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Supervisor:*

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To:*

Responsibilities:*

May we contact your previous supervisor for a reference?*

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Company:

Phone:

Address:

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Job title:

From:

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Responsibilities:

May we contact your previous supervisor for a reference?

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Company:

Phone:

Address:

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Supervisor:

Job title:

From:

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Responsibilities:

May we contact your previous supervisor for a reference?

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Military Service

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Rank at discharge:

Type of discharge:

If other than honorable, explain:

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I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

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How to Reach Us

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Hours

Phone Hours: Monday – Friday

8:00 AM – 7:00 PM

Office Hours

By Appointment Only

Saturday and Sunday

Closed

Winder Flooring

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