LaValley / Middleton Building Supply is an Equal Opportunity Employer. We consider applicants for all positions without regard to age, race, creed, religion, color, handicap, marital status, sex, sexual orientation, national origin, ancestry, arrest record, conviction record or membership in the National Guard, state defense force or any other reserve component of the military forces of the United States. If you prefer to download and print a copy of this application to fill out, see the link below on this page.
PERSONAL INFORMATION Phone * Email * Position Desired * Desired Location * Choose One Bristol Claremont Dover Hampton Ludlow Meredith Middleton Newport Rutland Walpole West Lebanon DiPrizio Pine Sales - Middleton Preferred Building Systems - Claremont Lebanon Paint & Decorating Date Available * Have you ever filled out an application with us before? * Have you ever been employed with us before? * We work on a full time schedule. Is that a problem? * We occasionally work more than eight (8) hours per day and on holidays. Will this be a problem? * If employed, and you are under 18, can you furnish a work permit? Can you perform the essential functions of the job you have applied for? EMPLOYMENT EXPERIENCE
List all full and part time jobs you have had in the past 7 years. Include any job related military service assignments and volunteer
activities. You may exclude organizations which indicate race, color, religion, sex, national origin, handicap or other protected status.
*Please list full and part time jobs you have had over the past 7 years, listing your most recent job FIRST. (Alternatively, you may attach a current resume, if you wish.)
Upload a Resume or a List of Past Work Experience (Optional.) Start Date * End Date * Full Time or Part Time? * Choose One Full Time Part Time Starting & Ending PAY * Supervisor NAME + PHONE Number * Reason for Leaving * Do you have other work experience you would like to add? * REFERENCES
Please list the names of persons not related to you willing to provide professional or character references for you. Give name, address and telephone number.
Reference #1 - Name and Address * --- Reference #1 - Phone and/or Email * Reference #2 - Name and Address * --- Reference #2 - Phone and/or Email * Reference #3 - Name and Address * --- Reference #3 - Phone and/or Email * EDUCATION
1) grammar school, high school, college and other education. 2) Names & locations of schools 3) Did you graduate? 4) Years attended and degree or diploma, if relevant.
School Type * Choose One Advanced Degree/Masters or Above College / Bachelor's Degree High School Grammar School None of the Above
**List your highest level of education FIRST.
Did you graduate * Choose One Yes No N/A
**If not applicable, choose N/A.
Do you have any other education you would like to add? * Choose one. Yes No
If no, please move on to the next section.
Optional: (Attach Resume.) GENERAL INFORMATION List special skills, talents or experience you feel will benefit you in the job for which you have applied: * Tell us a bit about why you are applying for a job with LaValley's. * Please share other interests you have outside of work such as sports, interests, hobbies, etc. * List all convictions for misdemeanors, felonies, or other offenses, except minor traffic violations (if none write none): * List all pending misdemeanor, felony or other criminal charges (if none, write none): *
*No applicant will be denied a position because of a conviction or a pending criminal charge which the employer determines is not substantially
related to the circumstances of the job being sought.
MILITARY SERVICE (if applicable) Have you served in the U.S. Armed Forces? If not, you may skip to the next section. APPLICANT'S STATEMENT
"I certify that answers given herein are true and complete to the best of my knowledge.”
I understand that I may be required to submit to a post-employment offer physical examination and/or a drug screen, and that employment is conditioned upon obtaining satisfactory results. I consent to this post-employment offer physical examination and such further examinations as may be required, which may include drug screenings.
I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.
In conjunction with my potential employment at LaValley/Middleton Building Supply, I (the applicant) consent to the release of my Motor Vehicle Records (MVR) to the company. I understand the company will use these records to evaluate my suitability to fulfill driving duties that may be related to the position for which I am applying. I also consent to the review, evaluation, and other use of any MVR I may have provided to the company.
This consent is given in satisfaction of Public Law 18 USC 2721 et. Seq., “Federal Drivers Privacy Protection Act”, and is intended to constitute “written consent” as required by this Act.
I understand that, if hired, any employment relationship with this Company is of an “at-will” nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. I also understand that acceptance of an offer of employment does not create a contractual obligation to continue to employ me in the future and that no Company official, management or otherwise, is authorized to make any oral assurance or promise of continued employment, and that any such pledge or agreement must be in writing, signed by the President of the Company.
I the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.
AGREEMENT with the ABOVE STATEMENT (Required.) *