Application for Employment

Employment History

Starting with your most recent employer, provide the following information.

Most Recent Employer

Second Most Recent Employer

Skills and Qualification

Summarize below any other special training, skills, licenses and/or certificates that may assist you in performing the position for which you are applying.

Educational Background

Starting with your most recent school attended, provide the following information.

Education One

Education Two

Education Three

References

List name and telephone number of three business/work references who are not related to you and are not previous supervisors. If not applicable, list three school or personal references who are not related to you.

Reference One

Reference Two

Reference Three

I certify that all information I have provided in order to apply for and secure work with this employer is true, complete and correct. I expressly authorize, without reservation, Timberline Fisheries Corporation, its representatives, employees, or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions to otherwise verify the accuracy of all information provided by me in this application, resume or job interview. I hereby waive any and all rights and claims I may have regarding Timberline Fisheries Corporation, its agents, employees or representatives, for seeking, gathering and using truthful information, in a lawful manner, in the employment process an all other persons, corporations or organizations for furnishing such information about me. I understand that Timberline Fisheries Corporation does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or eliminating any applicant from consideration for employment on any basis prohibited by applicable local, state or federal law. I understand that this application remains current for only 30 days. At the conclusion of that time, if I have not heard from Timberline Fisheries Corporation and still wish to be considered for employment, it will be necessary for me to reapply and fill out a new application. If I am hired, I understand that I am free to resign at any time, with or without cause and with or without prior notice, and Timberline Fisheries Corporation reserves the right to terminate my employment at any time, with or without cause and with or without prior notice, except as my be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no supervisor or representative of Timberline Fisheries Corporation is authorized to make assurances to the contrary and that no implied oral or written agreements contrary to the foregoing express languages are valid unless they are in writing and signed by Timberline Fisheries Corporation?s President. I also understand that if I am hired, I will be required to provide proof of identity and legal authorization to work in the United States and that federal immigration laws required me to complete and I-9 Form in this regard. I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to (i) eliminate me from further consideration for employment, or (ii) may result in my immediate discharge from Timberline Fisheries Corporation?s service, whenever it is discovered.

DO NOT SIGN UNTIL YOU HAVE READ THE ABOVE APPLICANT STATEMENT.

I certify that I have read, fully understand and accept all terms of the foregoing Applicant Statement.