Employee Application Silver Star Industries, Inc. Step 1 of 6 16% Contact informationName* First Last Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Enter Email Confirm Email Phone*Work ScheduleCheck one:* Permanent Seasonal Either Check one:* Full time Part time Any Date you can report for work:* MM slash DD slash YYYY Employment historyHow many previous employers you have?* 3+ 2 1 I have never been employed Previous employment information for verification and referenceName of Employer* First EmployerKind of Business* Your job title* Total time in position* From* MM slash DD slash YYYY To* MM slash DD slash YYYY Duties (List all duties you performed):*Employer’s address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Employer’s phone number*Supervisor’s name and phone number* Hours worked per week (average)*Hourly Pay $* Name of Employer* Second EmployerKind of Business* Your job title* Total time in position* From* MM slash DD slash YYYY To* MM slash DD slash YYYY Duties (List all duties you performed):*Employer’s address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Employer’s phone number*Supervisor’s name and phone number* Hours worked per week (average)*Hourly Pay $* Name of Employer* Third EmployerKind of Business* Your job title* Total time in position* From* MM slash DD slash YYYY To* MM slash DD slash YYYY Duties (List all duties you performed):*Employer’s address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Employer’s phone number*Supervisor’s name and phone number* Hours worked per week (average)*Hourly Pay $* Education/Training HistoryDo you have a high school diploma or GED certificate?* Yes No List colleges, military, trade, business or other schools attended*Name and Location of SchoolCourse of Study (List Major)Graduated (Yes/No)Type of Degree or certification earned Add RemoveSpecialized Skills or KnowledgeList any skills or knowledge that show your ability to perform the job for which you are applying* Add RemovePhysical RequirementsThe position of cabinet maker requires the physical capacity to lift up to 75 lbs, remain on your feet for long periods of time, and reasonable dexterity with hands. Do you have any physical limitations that might preclude you from the above?* Yes No Please list in detail below* Preview your application{all_fields}Certification and Signature I understand that any oral or written statement that is false, fraudulent or misleading that is contained in this application or attached materials, or made in the course of any related employment process, whether made by me or by others at my request, will result in rejection of my application, denial of employment, termination if discovered after employment. ● I certify that all statements contained herein are true and complete whether made by me or others at my request. ● I understand that I must prove that I am authorized to work in the United States if I am hired. ● I authorize my driving record be checked if the position for which I am applying requires driving. ● I authorize Silver Star Cabinets, Inc. to verify the employment and education information provided on this employment application. ● I understand and agree to a pre-employment physical (if applicable to position) and drug screening. {Name (First):1.3} {Name (Last):1.6}Date 11/10/2024Signature*AN EQUAL OPPORTUNITY EMPLOYER: We are an equal opportunity employer and do not discriminate based upon race, color, religion, sex, sexual orientation, pregnancy, marital status, national origin, citizenship, veteran status, ancestry, age (over 40), physical or mental disability, medical condition (cancer-related), gender identity or expression, genetic information including sickle cell or hemoglobin C trait, or any other consideration made unlawful by applicable federal, state, or local law.PhoneThis field is for validation purposes and should be left unchanged.