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Application for Employment Form

Thank you for expressing an interest in employment with our Company. We are an Equal Opportunity Employer, considering applicants for all positions without regard to race, creed, religion, military status, sex, sexual or affectional orientation, color, national origin, ancestry, familial status, age, disability, marital status or status with regard to public assistance, or any other statutory protected status. US LBM holds the position that a potential associate should not be turned down solely because of a prior conviction. We reserve the right however to ask about criminal backgrounds after the completion of an applicant’s first interview. We are committed to providing a safe working environment to our Associates our customers, and the protection of Company property. A conviction record will not necessarily be a bar to employment. Factors such as job relations, duties, age and time of the conviction, seriousness and nature of the conviction and rehabilitation will be taken into account. Only US Citizens or Aliens who have a legal right to work in the US are eligible for employment. Upon employment with US LBM and / or its Subsidiaries, you will need to provide genuine documentation establishing your identity and eligibility to be legally employed in the United States. Failure to fully complete this application may result in non-consideration.

* Required
Personal Data












Can you provide proof of your legal authorization to work in the US?*   
Are you 18 or older?*   
Schedule Available
If applicable, shift preferred*         
Have you worked with us before?   

Education

Type of School Attended School Name and Location
Education will only be considered if relevant to job performance.
Diploma/ Degree if Acquired Major Course of Study
High School
Technical or Vocational
College or University
Graduate School

Employment Experience

List previous employment (start with current or last job).

May we contact your current employer?   
Have you ever been discharged from any job or asked to resign?   

Employer 1



Dates Employed


Hourly Rates/Salary









Employer 2



Dates Employed


Hourly Rates/Salary









Employer 3



Dates Employed


Hourly Rates/Salary









Employer 4



Dates Employed


Hourly Rates/Salary










APPLICANT'S CERTIFICATION AND AGREEMENT: I authorize the Company to investigate any of the facts set forth in this application and I certify the facts set forth in this application are true and complete to the best of my knowledge. I understand that if I am employed, false statements made during the application process may result in dismissal. All offers of employment are conditional upon satisfactory background checks and do not constitute a contract of employment for any definite duration. Offers of employment for certain job classifications are also conditional upon successful completion of a physical examination and drug test and that a positive test result will result in my disqualification for further consideration for employment. It is understood that nothing in this application is to be interpreted to be a contract of employment. If employed, the employment relationship is "at will" and may be terminated by either party at any time without reason.


Yes