Employment Application – Tarheel Paper & Supply Company

First Name *

Middle Name *

Last Name *

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Email Address *

Phone

Are you 18 years or older? *

Have you ever been convicted of a crime other than a minor traffic violation? Do not include sealed and expunged convictions. *

If yes, explain:

Education Data

Highest Grade Completed: *

Other Education:

School Info

Select School Type *

Major Subject or Course of Study

Name of School

City

State/Province

Did you Graduate?

List Degree(s) Obtained

Employment

Job Applied for:

Salary desired:

Have you ever applied here before?

When?

Have you ever worked for this Company before?

When?

If yes, give the name(s) if different from the one given on this application

When could you report for work?

Work History

Company

Phone

Street Address

City

State/Province

ZIP / Postal Code

From (Month/Year)

To (Month/Year)

Supervisor's Name/Title

Type of Business

If this is your current employer, may we contact?

Your Position/Title

Responsibilityes/Duties

Specific Reason for Leaving

Relatives In Our Employment

Name

Relationship

Military

Branch of Service

Duties in the service, including schools and training

Special Skills

What knowledge, special technical or computer skills, and/or other qualifications have you acquired from employment or other experience? Include any specific equipment that you can proficiently operate and/or any software applications you are proficient in.

If Driving for the company please answer (Sales, technician, etc)

1. Do you currently possess a valid driver’s license?

2. Have you been involved in any traffic accidents within the last 3 years?

3. Have you received any moving violations (speeding tickets) within the last year?

4. Do you have any suspended or revoked driving licenses?

Professional References

Give three references who are not relatives or former employers.

Name

Occupation

Years Known

Phone

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Affidavit

I understand, where permissible under applicable federal, state, or local law, I may be subject to a pre-employment drug test after receiving a conditional offer of employment and must receive a negative result for illegal drug use before being permitted to commence work with Tarheel Paper & Supply Company.
I understand, where permissible under applicable federal, state, or local law, I may be subject to a pre-employment medical examination after receiving a conditional offer of employment and must meet the qualifications for the position, with or without reasonable accommodation, before being permitted to commence work with Tarheel Paper & Supply Company.
I understand, where permissible under applicable federal, state, or local law, I may be subject to a pre-employment background check after receiving a conditional offer of employment to investigate my criminal background, driving record, credit history and other matters related to my suitability for employment. The offer is contingent upon the successful completion and outcome of the background check. I understand that a separate disclosure and consent form will be provided to me prior to any background check.
I understand employment with Tarheel Paper & Supply Company is also contingent on my providing sufficient documentation necessary to establish my identity and eligibility to work in the United States.
I authorize Tarheel Paper & Supply Company and its representatives to contact my current and former employers (with the exception of my current employer, if I have marked “May we contact?” on page 2 of this application as “No”), schools, references, and other persons or organizations I have named in this application for the purpose of verifying the information I have provided. I release my current and former employers, schools, references, and other persons or organizations named in this application from any liability resulting from the information released. I authorize employers, schools, and other persons or organizations named in this application to provide any information or transcripts requested.
I hereby certify that, if employed, my employment with Tarheel Paper & Supply Company will not conflict with, violate, breach, or result in default under, any contract, agreement, or understanding that I am a party to or am bound by, including any non-solicitation, non-competition, or other similar post-employment restriction or agreement I have with any current or former employer, other than the contracts, agreements, covenants, or understandings I have disclosed in this application, if any.
I understand and agree that, if hired, my employment will be “at-will”, which means employment is for an indefinite period of time and may be terminated by myself or Tarheel Paper & Supply Company at any time, with or without cause, and with or without notice.
I certify that all of the above information is true and complete and I understand that any falsification or omission of information made by me may disqualify me from further consideration for employment or, if hired, may result in my termination at any time during the period of my employment, regardless of the amount of time that has passed.

MY SIGNATURE IS EVIDENCE THAT I HAVE READ AND AGREE WITH THE ABOVE STATEMENTS.

Signature *

Date

Application for Employment

Please read before filling out this application