Blue River Wood Products
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Production
Salem
,
Indiana
,
United States
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Application Form
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First Name *
Last Name
Email *
Phone *
Resume
Address *
Linkedin Profile
If you are under 18 years of age, can you provide required proof of your eligibility to work? *
--Select--
Yes
No
Have you ever filed an application with us before? *
--Select--
Yes
No
If you answered yes to the previous question please give date
Have you ever been employed with us before? *
--Select--
Yes
No
If you answered yes to the previous please give date
Are you currently employed? *
--Select--
Yes
No
May we contact your current employer? *
--Select--
Yes
No
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration? *
--Select--
Yes
No
On what date would you be available for work? *
Are you available to work: *
--Select--
Full Time
Part Time
Shift Work
Temporary
Are you currently on "lay-off" status and subject to recall? *
--Select--
Yes
No
Can you travel if a job required it? *
--Select--
Yes
No
Have you ever been convicted of a felony? *
--Select--
Yes
No
If you answered yes to the previous question please explain
Please choose your level of education *
--Select--
Some High school
GED
High school diploma
Some college
College degree
Masters
Describe any specialized training, apprenticeship, skills and extra curricular activities.
Indicate any foreign languages you can speak, read and/or write.
Name of your first reference
Address of your first reference
Phone number for first reference
Name of your second reference
Address of second reference
Phone number for second reference
Name of third reference
Address of third reference
Phone number of third reference
Name of current or last employer
Address of employer
Phone number of employer
Job title
Supervisor
Reason for leaving
Date employment started
Date employment ended
Hourly rate when employment started
Hourly rate when employment ended
Thanks for your time
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