Applicant Information Name * First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Email * Driver's License Desired Salary $ Position Applying for Are you a citizen of the United States? Yes no If no, are you authorized to work in the U.S.? Yes No Have you ever worked for this company? Yes No If so, when? Have you ever been convicted of a felony? Yes no If yes, please explain Education Information Name of High School and Address Date (from) MM DD YYYY Date (to) MM DD YYYY Did you graduate? Yes No Degree College Date (from) MM DD YYYY Date (to) MM DD YYYY Did you graduate? Yes No Degree Other Date (from) MM DD YYYY Date (to) MM DD YYYY Did you graduate? Yes No Degree References Name First Name Last Name Relationship Company Phone (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Name First Name Last Name Relationship Company Phone (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Name First Name Last Name Relationship Company Phone (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Previous Employment Company Phone (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Supervisor First Name Last Name Job Title Starting Salary $ Ending Salary $ Responsibilities Date (from) MM DD YYYY Date (to) MM DD YYYY Reason for leaving May we contact your previous supervisor for a reference? Yes No Company Phone (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Supervisor First Name Last Name Job Title Starting Salary $ Ending Salary $ Responsibilities Date (from) MM DD YYYY Date (to) MM DD YYYY Reason for leaving May we contact your previous supervisor for a reference? Yes No Company Phone (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Supervisor First Name Last Name Job Title Starting Salary $ Ending Salary $ Responsibilities Date (from) MM DD YYYY Date (to) MM DD YYYY Reason for leaving May we contact your previous supervisor for a reference? Yes No Military Service Branch Date (from) MM DD YYYY Date (to) MM DD YYYY Rank at discharge Type of discharge If other than honorable please explain Disclaimer and 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. Signature Date MM DD YYYY Thank you for your interest in joining the NorthStar Pontoons team. Your application has been received.Our hiring team will review all applications and contact all qualified candidates for an interview with in 2 weeks after receiving your application.If you have any questions, please email Christine at csand@northstarpontoons.comWe wish you all the best in your job search and look forward to talking with all accepted applicants!Sincerely,The NorthStar team
