Employment Application

Have you completed a Culture Index survey?

Yes - I have completed the survey.

Today's date

First Name

Last Name

Street Address

City

State

Zip Code

Phone Number

Email Address

If under 18, please list age.

Position(s) Applying For

How did you hear about this position?

Employment Desired

Full-time Only Part-time Only Full or Part Time

How many hours can you work weekly?

If needed, are you available to work overtime?

Yes No

What date are you available to start?

Desired Salary (Specific Hourly)

A. Have you ever applied to or worked for Wolf Industries

B. Do you have any friends, relatives or acquaintances working for Wolf Industries?

C. Are you 18 years of age or older?

D. Can you provide proof of legal right to work in the United States?

E. Do you have a current and valid drivers licence

F. Do you have a current and valid commercial drivers liscence (CDL)

G. Would you consent to a mandatory controlled substance test?

H. Do you have any medical condition that require job accommodations?

I. Do you have reliable transportation to and from work?

J. Have you ever been convicted of a criminal offence (misdemenor or felony)?

K. Do you have a clean driving record?

If question "a" is yes, when did you last apply?

If question "b" is yes, state name and relationship.

If question "d" is yes, please list what documentation you can provide as proof of citizenship or legal status.

If question "e" is yes, and you are applying for a Field position, can you provide us with a copy of your driving record?

If question "h" is yes, please describe accommodations required.

If question "j" is yes, please state the nature of the crime(s), when and where you were convicted, and disposition of the case. (Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances are the relevance of the offense to the position(s) applied for may, however, be considered.)

If question "k" is no, please explain. You may be asked to provide a copy of your driving record from the DMV depending on which job you are applying for (Field, Deliveries, etc).

Please list below the skills and qualifications you possess for the position for which you are applying, including any special licenses or certifications:

High School - please list name, location (city, state), year graduated, and degree earned

College/University - please list name, location (city, state), year graduated, and degree earned

Vocational School/Specialized Training Programs - please list name, location (city, state), year graduated, and degree earned

Are you a member of the Armed Services?

In which branch of the military did you enlist?

What was your military rank when you were discharged?

How many years did you serve in the military?

What military skills do you possess that would be an asset for this position?

Previous Employer #1 and Location

Job Title

Dates Employed

Job Duties

Reason for Leaving

Supervisor Name and Phone Number #1

Previous Employer #2 and Location

Job Title #2

Dates Employed #2

Job Duties #2

Reason for Leaving #2

Supervisor Name and Phone Number #2

Please list two references other than relatives or previous employers. Name (Person#1)

Phone (Person #1)

Name (Person #2)

Phone (Person #2)

At-Will Employment: The relationship between you and Wolf Industries Inc. is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or by Wolf Industries Inc. No representative of Wolf Industries Inc, has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will," and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and either Wolf Industries' President or Vice President. By clicking "Yes," you are signing that you agree to this statement.

Yes No

(360) 912-9519

607 SE Eaton Blvd, Battle Ground WA 98604

Sales@Wolfind.com

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