Employment | Alabama | Froggy Bottom Materials

Job Application

11672 Hwy 80 East, Pike Road, AL 36064 | (334) 215-3704

Froggy Bottom is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Should an applicant need a reasonable accommodation in the application process, he or she should contact a company representative.

Please fill out all of the sections below:

Application Information:

Applicant Name(Required)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone(Required)

Email(Required)

Date of Application

Employment Position:

How did you hear about this position?

On what date can you start working if you are hired?

Salary desired:

Personal Information:

Are you 18 years of age or older?

Yes

Are you a US citizen or approved to work in the United States?

Yes

Have you ever been convicted of a criminal offense (felony or misdemeanor)?

Yes

If yes, please state the nature of the crime(s), when and where convicted and disposition of the case:

Job Skills/Qualifications:

Please list below the skill and qualifications you possess for the position for which you are applying:

(Note: Froggy Bottom complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions.)

Education and Training:

High School

Name

Location (City, State)

City State / Province / Region

Year Graduated

Degree Earned

College/University

Name

Location (City, State)

City State / Province / Region

Year Graduated

Degree Earned

Vocational School/Specialized Training

Name

Location (City, State)

City State / Province / Region

Year Graduated

Degree Earned

Military:

Are you a member of the Armed Services?

What branch of the military did you enlist?

What military skills do you possess that would be an asset for this position?

Previous Employment:

Employer Name

Job Title

Supervisor Name

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Employer Telephone

Employed Start Date

Employed End Date

Reason for leaving

Employer Name

Job Title

Supervisor Name

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Employer Telephone

Employed Start Date

Employed End Date

Reason for Leaving

Employer Name

Job Title

Supervisor Name

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Employer Telephone

Employed Start Date

Employed End Date

Reason for Leaving

References

Please provide 2 personal and professional reference(s) below:

Reference

Contact Information

Reference

Contact Information

Additional Information:

CDL?

CDL Class

AT-WILL EMPLOYMENT The relationship between you and Froggy Bottom is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or Froggy Bottom. No representative of Froggy Bottom has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at-will" and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and either our Executive Vice-President/Chief Operations Officer or the Company's President.

Applicant Signature:

Dated: