Employment Application

Name(Required)

First Last

Date(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Email(Required)

Phone(Required)

Have you ever worked at Grabill Cabinets before?(Required)

Yes

Rate of Pay Expected:(Required)

Can you work:(Required)

Full-Time

Part-Time

Can you provide a valid Indiana Drivers License?(Required)

Yes

Referred By:

Name of Relative/Friend working for us (if applicable):

List any special skills/machinery you can operate:

Do you have any experience in the following:

Have you ever been arrested for or convicted of a crime that has not been expunged by a court?(Required)

Yes

If yes, please explain:(Required)

Employment History

Employer Name:

Rate of Pay:

Start Date:

End Date:

Reason For Leaving:

Position Title/Duties, Skills:

Employer Name:

Rate of Pay:

Start Date:

End Date:

Reason For Leaving:

Position Title/Duties, Skills:

Employer Name:

Rate of Pay:

Start Date:

End Date:

Reason For Leaving:

Position Title/Duties, Skills:

Employer Name:

Rate of Pay:

Start Date:

End Date:

Reason For Leaving:

Position Title/Duties, Skills:

Education (Name and Location)

High School:

Did you graduate?

Yes

Degree

Diploma

GED

College:

Degree Received:

Degree of Study:

Other specialized training/courses/skills, etc.:

Applicant Statement

I certify that all information I have provided in order to apply for and secure work with this employer is true, complete and accurate. I hereby grant permission to investigate any of the information included in this application as necessary to arrive at an employment decision. I understand that I must pass a medical examination and a drug screen test as part of the hiring process.

I understand nothing contained in this employment application or in the granting of an interview is intended to create a contract between me and Grabill Cabinet Company for either employment or benefits. I further understand that if hired, my employment will be at will, and both the company and myself remain free to choose to continue or end our work relationship at any time without cause and to continue or end our employment relationship at any time.

I understand that if I am hired, I will be required to provide proof of identity and legal authorization to work in the United States and that federal immigration laws require me to complete an I-9 Form in this regard.

Grabill Cabinet Company is an equal employment opportunity employer and does not tolerate unlawful discrimination in its employment practices. No question on this application is used for the purpose of limiting or excluding an applicant from consideration for employment on the basis of his or her sex, race, color, religion, national origin, citizenship, age, disability, or any other protected status under federal, state or local laws.

I certify that I have read, fully understand and accept all terms of the Applicant Statement.

Upload your resumé, cover letter, and/or portfolio to this application. (Optional)

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Accepted file types: jpg, gif, png, pdf, Max. file size: 256 MB, Max. files: 3.

Signature of Applicant:(Required)

Date:(Required)

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Measurement(Required)

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Employment History

Education (Name and Location)

Applicant Statement

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