East Coast Lumber | East Coast of Central Florida |

Credit Application

Employment Application

BUTCHER’S BLOCK & BUILDING MATERIAL - EMPLOYMENT APPLICATION
An Equal Opportunity Employer

Date

Last Name

First Name

Middle Initial

Present Address

City

State

Zip Code

Permant Address (If different from Present Address)

City

State

Zip Code

Business Phone

Home Phone

Employment Desired

Position Applying For:

Are You Applying For:

Regular Full-Time Work?

Yes

Regular Part-Time Work?

Yes

Temporary Work, e.g. summer or holiday work?

Yes

Other than time off for reasons related to your religion, a disability or a medical condition, are there any days or times when you are unavailable to work?

If applying for part-time work, during what period of time will you be available?

Date

Would you be available to work overtime, if necessary?

Yes

If hired, what date can you start work?

Personal Information

How did you hear about our company and this job opening?

Have you ever applied to or worked for Butcher's Block and Building Materials before?

Yes

If Yes, when?

Why are you applying for work at Butcher's Block and Building Materials?

If hired, would you have a reliable means of transportation to and from work?

Yes

Are you at least 18 years old? (If under 18, hire is subject to verification that you are of minimum legal age.)

Yes

Are you able to perform the essential functions of the job for which you are applying, either with or without reasonable accommodation?

Yes

If no, describe the functions that cannot be performed.

(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.)

We may refuse to hire relatives of present employees if doing so could result in actual or potential problems in supervision, security, safety, or morale, or if doing so could create conflicts of interest

Education, Training, and Experience

High School

No. of Years Completed

Degree/Diploma

High School Address

City

State

Zip Code

Did You Graduate?

Yes

College/University

No. of Years Completed

Degree/Diploma

College/University Address

City

State

Zip Code

Did You Graduate?

Yes

Vocational/Business

No. of Years Completed

Degree/Diploma

Vocational/Business Address

City

State

Zip Code

Did You Graduate?

Yes

Healthcare Training

No. of Years Completed

Degree/Diploma

Healthcare Training Address

City

State

Zip Code

Did You Graduate?

Yes

Do you have any other experience, training, qualifications, or skills that you feel make you especially suited for work at Butcher's Block and Building Materials?

Yes

If so, please explain:

Answer the following questions if you are applying for a professional position:

Are you licensed/certified for the job applied for?.

Yes

Name of license/certification:

Issuing State

License/certification number:

Has your license/certification ever been revoked or suspended?.

Yes

If yes, state reason(s), date of revocation or suspension, and date of reinstatement.

Employment History

List below all present and past employment starting with your most recent employer (last five years is sufficient). You must complete this section even if attaching a resume.

Name of Employer

Type of Business

Phone Number

Your Supervisor's Name

Vocational/Business Address

City

Statrt Date of Employment

State

Zip Code

End Date of Employment

Your Position and Duties

Reason for Leaving

Current Employer?

Yes

May we contact this employer for a reference?

Yes

Name of Employer

Type of Business

Phone Number

Your Supervisor's Name

Vocational/Business Address

City

Statrt Date of Employment

State

Zip Code

End Date of Employment

Your Position and Duties

Reason for Leaving

May we contact this employer for a reference?

Yes

Name of Employer

Type of Business

Phone Number

Your Supervisor's Name

Business Address

City

Statrt Date of Employment

State

Zip Code

End Date of Employment

Your Position and Duties

Reason for Leaving

May we contact this employer for a reference?

Yes

Under the mechanics lien law (California Code of Civil Procedure, Section 3082 et seq), Any contractor, subcontractor, laborer, supplier, or other person who helps to improve your property but is not paid for his work or supplies, has a right to enforce a claim against your property. This means that, after a court hearing, your property could be sold by a court officer and the proceeds of the sale used to satisfy the indebtedness. In the event suit is instituted by the seller to collect the amount due on the purchase, buyer agrees to pay the seller a reasonable sum for attorney’s fees. This can happen even if you have paid your own contractor in full, if the subcontractor, laborer, or supplier remains unpaid.

Accounts are due and payable on or before the 10th, delinquent the 15th. A 2% service charge (24% annually, minimum $1.00) will be added to any delinquent account.

Thanks for submitting!

BUTCHER’S BLOCK & BUILDING MATERIAL - EMPLOYMENT APPLICATION
An Equal Opportunity Employer

Date

Last Name

First Name

Middle Initial

Present Address

City

State

Zip Code

Permant Address (If different from Present Address)

City

State

Zip Code

Business Phone

Home Phone

Employment Desired

Position Applying For:

Are You Applying For:

Regular Full-Time Work?

Yes

Regular Part-Time Work?

Yes

Temporary Work, e.g. summer or holiday work?

Yes

Other than time off for reasons related to your religion, a disability or a medical condition, are there any days or times when you are unavailable to work?

If applying for part-time work, during what period of time will you be available?

Date

Would you be available to work overtime, if necessary?

Yes

If hired, what date can you start work?

Personal Information

How did you hear about our company and this job opening?

Have you ever applied to or worked for Butcher's Block and Building Materials before?

Yes

If Yes, when?

Why are you applying for work at Butcher's Block and Building Materials?

If hired, would you have a reliable means of transportation to and from work?

Yes

Are you at least 18 years old? (If under 18, hire is subject to verification that you are of minimum legal age.)

Yes

Are you able to perform the essential functions of the job for which you are applying, either with or without reasonable accommodation?

Yes

If no, describe the functions that cannot be performed.

Education, Training, and Experience

High School

No. of Years Completed

Degree/Diploma

High School Address

City

State

Zip Code

Did You Graduate?

Yes

College/University

No. of Years Completed

Degree/Diploma

College/University Address

City

State

Zip Code

Did You Graduate?

Yes

Vocational/Business

No. of Years Completed

Degree/Diploma

Vocational/Business Address

City

State

Zip Code

Did You Graduate?

Yes

Healthcare Training

No. of Years Completed

Degree/Diploma

Healthcare Training Address

City

State

Zip Code

Did You Graduate?

Yes

Do you have any other experience, training, qualifications, or skills that you feel make you especially suited for work at Butcher's Block and Building Materials?

Yes

If so, please explain:

Answer the following questions if you are applying for a professional position:

Are you licensed/certified for the job applied for?.

Yes

Name of license/certification:

Issuing State

License/certification number:

Has your license/certification ever been revoked or suspended?.

Yes

If yes, state reason(s), date of revocation or suspension, and date of reinstatement.

Employment History

List below all present and past employment starting with your most recent employer (last five years is sufficient). You must complete this section even if attaching a resume.

Name of Employer

Type of Business

Phone Number

Your Supervisor's Name

Vocational/Business Address

City

Statrt Date of Employment

State

Zip Code

End Date of Employment

Your Position and Duties

Reason for Leaving

Current Employer?

Yes

May we contact this employer for a reference?

Yes

Name of Employer

Type of Business

Phone Number

Your Supervisor's Name

Vocational/Business Address

City

Statrt Date of Employment

State

Zip Code

End Date of Employment

Your Position and Duties

Reason for Leaving

May we contact this employer for a reference?

Yes

Name of Employer

Type of Business

Phone Number

Your Supervisor's Name

Business Address

City

Statrt Date of Employment

State

Zip Code

End Date of Employment

Your Position and Duties

Reason for Leaving

May we contact this employer for a reference?

Yes

Name of Employer

Type of Business

Phone Number

Your Supervisor's Name

Business Address

City

Statrt Date of Employment

State

Zip Code

End Date of Employment

Your Position and Duties

Reason for Leaving

May we contact this employer for a reference?

Yes

Name of Employer

Type of Business

Phone Number

Your Supervisor's Name

Business Address

City

Statrt Date of Employment

State

Zip Code

End Date of Employment

Your Position and Duties

Reason for Leaving

May we contact this employer for a reference?

Yes

Accounts are due and payable on or before the 10th, delinquent the 15th. A 2% service charge (24% annually, minimum $1.00) will be added to any delinquent account.

Thanks for submitting!

Employment Application

BUTCHER’S BLOCK & BUILDING MATERIAL - EMPLOYMENT APPLICATION An Equal Opportunity Employer

BUTCHER’S BLOCK & BUILDING MATERIAL - EMPLOYMENT APPLICATION An Equal Opportunity Employer

BUTCHER’S BLOCK & BUILDING MATERIAL - EMPLOYMENT APPLICATION
An Equal Opportunity Employer

BUTCHER’S BLOCK & BUILDING MATERIAL - EMPLOYMENT APPLICATION
An Equal Opportunity Employer