Careers | Early Bird Supply | Clarkston, WA - Grangeville, ID - Lewiston, ID - Moscow, ID

Quality You Can Trust Since 1974

Email Us
Location information Our Locations
Social Media Links
- facebook

Please use the form below to submit your online application for employment at Early Bird Supply.

Applicant Information

First, Last Name *

Your Address *

City *

State *

ZIP/Postal Code *

Phone Number *

Email *

Social Security Number *

Position Applied for:

Desired Salary *

Are you a citizen of the United States? *

If No, are you authorized to work in the U.S.?

Have you ever worked for this company? *

If Yes, when?

Have you ever been convicted of a felony? *

If Yes, please explain.

EDUCATIONAL RECORD

High School *

High School Address *

From - To dates *

Example: month/year - month/year

Did you graduate High School? *

High School Diploma

College

College Address

From - To College dates

Example: month/year - month/year

Did you graduate College?

College Degree

Other Education, Training or Certifications

From - To Other Education Dates

Example: month/year - month/year

Did you graduate?

Diploma, Degree or Certificate

References

Please list three Professional References.

Reference #1 Full Name

Reference #1 Company

Reference #1 Phone

Reference #1 Relationship

Reference #2 Full Name

Reference #2 Company

Reference #2 Phone

Reference #2 Relationship

Reference #3 Full Name

Reference #3 Company

Reference #3 Address

Reference #3 Phone

Reference #3 Relationship

Previous Employment

#1) Company

#1) Address

#1) Phone

#1) Supervisor Name

#1) Job Title

#1) Starting Salary

#1) Ending Salary

#1) Responsibilities

#1) Dates From - To

Example: month/year - month/year

#1) Reasons for leaving

#1) May we contact your previous supervisor for a reference?

#2) Company

#2) Address

#2) Phone

#2) Supervisor Name

#2) Job Title

#2) Starting Salary

#2) Ending Salary

#2) Responsibilities

#2) Dates From - To

Example: month/year - month/year

#2) Reasons for leaving

#2) May we contact your previous supervisor for a reference?

#3) Company

#3) Address

#3) Phone

#3) Supervisor Name

#3) Job Title

#3) Starting Salary

#3) Ending Salary

#3) Responsibilities

#3) Dates From - To

Example: month/year - month/year

#3) Reasons for leaving

#3) May we contact your previous supervisor for a reference?

Military Service

Military Branch

Military Dates

From - To. Example: month/year - month/year

Rank at Discharge

Type of Discharge

If other than honorable, please explain:

Additional Questions

List and explain any moving vehicle convictions, DUI, reckless driving within the last 3 years: (violations will not necessarily bar an applicant from employment)

DL# *

Class

DL State Issued

Expiration Date

Date *

Violations

Certain positions require the regular lifting of at least 50 lbs. to shoulder height. *

Are there any physical conditions which may prevent you from working? Please Expain.

It may be necessary to work hours other than traditional hours (M-F 8am-5pm). *

Are there any conditions that would prevent you from working? Please Explain.

Disclaimer & Signature

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. It is my understanding that EBS will make a thorough investigation of my entire work history and may verify all data given in my application, related papers, or oral interview. I authorize such investigation including a background check and the giving and receiving of any information by EBS. I release from liability any person or entity giving or receiving such information. I understand that falsification of data given or discovered as a result of this investigation may result in refusal or immediate dismissal from employment. It is expressly understood that EBS has a drug testing policy and any employment would be conditional upon satisfactorily passing a pre-employment drug test and complying with the terms of the drug and alcohol policy. I understand and accept these pre-employment conditions. I further understand and agree this is solely an application for employment and that no employment contract is intended or being offered.

Signature *

Date

Example: 00/00/00