Application For Employment Get in touch Lewis Lumber and Milling Inc. Contact Us 146 Reliance Rd. Dickson, TN 37055 615-560-0324 office 615-560-0328 fax RelianceHardwoodFloors@lewismilling.com Sales Lee Lewis Flooring Sales 615 947-7448 lee@lewismilling.com Sales Libby Lewis Clayton Flooring Sales 615-513-8544 cell llewis@lewismilling.com Name(Required)Please upload your resumeAccepted file types: pdf, doc, docx, Max. file size: 2 GB. Which of our locations are you applying to work at?(Required) Dickson, TN Clarion, PA Present Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Position Applying forPhone(Required)Email Do you have the legal right to work in the U.S.? Yes No If no, give type of VisaExpiration Date MM slash DD slash YYYY Are you over 18 years of age or can you provide proof of eligibility to work? Yes No How did you learn about us?If hired, date available to begin work MM slash DD slash YYYY Type of work Full-time Part-time Temporary Hours available to workAvailable for work on weekends? Yes No Available for overtime, if needed? Yes No Are you presently employed? Yes No If yes, may we inquire of your present employer? Yes No Employment History (Please list in order, present employer first)Start Date MM slash DD slash YYYY End Date MM slash DD slash YYYY NameAddress Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Title PositionSupervisorSalaryType of work Full-time Part-time Temporary Reason for leavingDescribe in detail the work you did:Licenses or Certifications:Start Date MM slash DD slash YYYY End Date MM slash DD slash YYYY NameAddress Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Title PositionSupervisorSalaryType of work Full-time Part-time Temporary Reason for leavingDescribe in detail the work you did:Licenses or Certifications:Start Date MM slash DD slash YYYY End Date MM slash DD slash YYYY NameAddress Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Title PositionSupervisorSalaryType of work Full-time Part-time Temporary Reason for leavingDescribe in detail the work you did:Licenses or Certifications:Education BackgroundHigh SchoolHigh School LocationNumber of Years CompletedDiploma? Yes No CollegeCollege LocationNumber of Years CompletedDegree? Yes No OtherOther LocationNumber of Years CompletedDegree? Yes No Please indicate any experiences, certificates, license, skills or qualifications (i.e. typing, shorthand, machines) which you feel would especially fit you for work at LEWIS LUMBER & MILLING, INC.SkillLength & Kind of TrainingYears Experience Add RemoveType of work preferred?References (Excluding relatives)Name & OccupationsAddressPhone Number Add RemoveAre you able to perform the essential functions of the job for which you are applying, wither with or without reasonable accommodation? Yes No If no, describe the functions that cannot be performed.(Required)(Note: We comply with the ADA and consider reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. Hire may be subject to passing a medical examination, and to skill and agility tests.)State any additional information helpful for considering your applicationHave you been convicted of a felony within the last 7 years? Yes No If yes, describe in full(Required)Applicant's Certification and AgreementI certify that all answers given by me are true, accurate, and complete. I understand that the falsification, misrepresentation or omission of fact on this application (or any accompanying or required documents) will be cause for denial of employment or immediate termination of employment, regardless of when or how discovered. Questions regarding this statement should be directed to any employment interviewer before signing. The application will be given every consideration, but its receipt does not imply that the applicant will be employed. I authorize the investigation of all statements and information contained in this application. I release from all liability anyone supplying such information and I also release the employer from all liability that might result from making the investigation. I also understand that in accordance with LEWIS LUMBER & MILLING, INC. policies, a drug test and background check will be required. Failure to submit to a drug test or a positive result will forfeit any job offer, or will result in immediate termination from employment if already employed. If hired, I agree to abide by all of the Company rules and regulations, and understand that, if employed, my employment may be terminated with or without cause, and with or without notice, at any time, at the option of either the Company or me. I further understand that no representation, whether oral or written by any representative or agent of the Company, at any time, can constitute a contract of employment. I understand that the Company and all Plan Administrators shall have the maximun discretion permitted by law to administer, interpret, modify, discontinue, enhance or otherwise change all policies, procedures, benefit, or other term or condition of employment. No representative or agent of the Company has the authority to enter into any agreement for employment for any specified period of time or to make any change in any policy, procedure, benefit or other term or condition of employment other than in a document signed by the President or Vice President, or to make any agreement contrary to the foregoing. I acknowledge that I have read and understand the above statements and herby grant permission to confirm the information supplied on this application by me.Applicant's SignatureDate(Required) MM slash DD slash YYYY
