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Lynden Door Application for Employment

P.O. Box 525 | 2077 Main Street | Lynden, WA 98264 | (360) 354-5675 | www.lyndendoor.com

All applicants will receive consideration without discrimination because of race, religion, gender, age, national origin, handicap or veteran status. We are an equal opportunity employer.

Date of Application *

Name *

Address *

Country

City

State

Zip code

Mobile Phone

Can we contact you via text?

Yes

Home Phone

Have you ever applied for employment with us? *

Yes

If yes, Month & Year

Have you previously worked for a Lynden Door Company?

Yes

Date

Are you available to work full time?

Yes

If not, what days & hours can you work?

Shift Availability

Day

Swing

Either

What position are you applying for?

If hired, when are you available to begin work?

Are you 18 years or older?

Yes

Can you pass a pre-employment drug test which includes testing for Marijuana?

Yes

Education

High School

Technical Training

Technical Specialized Training

College / University

Please list skills or other special training.

Acknowledgment *

I herewith certify that all information in this application is correct and complete to the best of my knowledge and belief and that I understand that intentionally false information will result in refusal of employment or termination of employment if discovered after date of hire. I acknowledge that the Company will verify the accuracy and completeness of the information I have provided and I authorize each employer, school, or person I have named to provide information regarding my employment, education, character, and qualifications, and release each employer, school, or person from all liability for any damages that may result from furnishing information to the Company. I understand that if I am employed, I must conform to the Company's rules and regulations and that my employment may be terminated with or without cause at the option of either the Company or myself. This certifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge.

I consent to the above statement.

I do not consent to the above statement.