Careers

Application for Employment

Lone Rock Timber Management Company
Lone Rock Logging Company
2323 Old Highway 99 South
P.O. Box 1127 – Roseburg, OR 97470 – PH. (541) 673-0141

Applicants will receive consideration without discrimination because of race, religion, color, sex, age, national origin, marital or veteran status, the presence of non-job-related medical condition or disability or any other legally protected status. If you need help to fill out this application or for any part of the interview or employment process, please notify Human Resources and every reasonable effort will be made to accommodate your needs.

Please answer all questions completely and accurately.
This application is active for 90 days.

"*" indicates required fields

Date*

Applicant*

Present mailing address*

How long have you lived at the above address?**

Previous address*

Are you at least 18 years of age?*

Yes

Home telephone*

Business telephone*

Message telephone*

Position(s) applied for*

(Be specific. Applications will not be accepted marked "open" or "any.")

Date available to work**

What experience do you have in this position?*

What additional skills do you have that would make you more valuable in this position?*

Availability*

Days

Nights

Weekends

Rotating shifts

Overtime

Temporary

Full-time

Part-time

Can you, after employment, provide documented proof of your legal right to work and remain in the U.S.?*

Yes

No

Were you previously employed by us?*

Yes

No

If previously employed by us, list date(s), department and title.*

Record of Education

High School*

College*

Other*

Service Record

If in the service, with which branch did you serve?

Date service began

Date service ended

Rank at discharge

List duties in the service including special training

Job Requirements

Regarding the job for which you have applied, are you familiar with this job and do you understand the basic physical requirements needed to perform it?*

Yes

No

Can you provide a valid driver's license?*

Yes

No

Is driver's license presently restricted, suspended, or revoked?*

Yes

No

List any moving violations during the preceding 3 (three) years:**

References

Please list the name or names of individuals that referred you to this position:*

Personal reference 1*

Personal reference 2*

Personal reference 3*

Past Employment

List below ALL present and past employment, beginning with your most recent. (Attach separate sheet for additional employment). You must complete this section. A resume cannot be substituted.

Employer 1*

Start date*

End date*

Employer address 1*

Employer 1 phone*

Type of business*

Job title*

Describe job duties*

Supervisor*

Reason for leaving*

Employer 2*

Start date*

End date*

Employer 2 address*

Employer 2 phone

Type of business*

Job title*

Describe job duties*

Supervisor*

Reason for leaving*

Employer 3*

Start date*

End date*

Employer 3 address*

Employer 3 phone

Type of business*

Job title*

Describe job duties*

Supervisor*

Reason for leaving*

Agreement and Release

Please initial each section indicating you have read that section.
Also please sign this form at the bottom of the page.

WITH THIS APPLICATION BY MY SIGNATURE BELOW I AGREE TO ALL OF THE FOLLOWING TERMS:

1. I certify that the information I have provided on this Application Form and on my resume (if any) is true to the best of my knowledge. Regarding this application, I understand that if the Company determines that I have made any false oral or written statements or answers or any misrepresentations or any omission of significant information, the Company is entitled to reject my Application, or if hired, to terminate my employment.*

2. In the event I undergo a medical examination or evaluation as part of the job placement process of the Company I agree to supply only information which is true to the best of my knowledge. Regarding this examination or evaluation, I understand that if the Company determines that I have made any false oral or written statements or answers or any misrepresentation or any omission of significant information to the Company or the physician or to his or her representative, the Company is entitled to terminate my conditional or actual employment at any time.*

3. I authorized any person, school, current employer, past employer, physician or organization with knowledge of me or my work to provide the Company or its agent or representative with any information or opinion about me in the response to an inquiry by the Company. I release any such person, employer, physician or organization from any legal liability in making such statements or furnishing any and all information to the Company or its representative or agent.*

4. I authorize the Company or its agent or representative to check references regarding my employment and investigate any of the statements or answers provided by me on this Application or made to a physician or his or representative(in the event of a medical examination or evaluation). The only exception to this authorization is where I have specifically requested in writing on the Application Form on the date below that no such inquiry be made.*

5. I understand that my employment at this Company is on an “at will” (that is, mutual consent) basis. Therefore I agree that either I or the Company has the proper right to terminate my employment with or without cause at any time.*

6. I understand that before any offer of employment can be extended will be required to undergo a drug screening test at the Company’s expense for the purpose of detecting illegal drugs. If illegal drugs are found in my system, I will not be extended an offer of employment, or if a conditional offer of employment has been extended, it will be withdrawn. I further understand that the use of illegal drugs is prohibited during my employment with the Company and I am willing to submit to drug testing to detect the use of illegal drugs during the length of my employment.*

I have read and understood, and I agree to this entire section above entitled AGREEMENT & RELEASE.*

Signature Date

Attach Resume

Attach cover letter (optional)

Accepted file types: doc, docx, pdf, rtf, cwk, wps, odf, txt, Max. file size: 100 MB.

Attach resume (optional)

Accepted file types: doc, docx, pdf, rtf, cwk, wps, odf, txt, Max. file size: 100 MB.

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Application for Employment

Record of Education

Service Record

Job Requirements

References

Past Employment

Agreement and Release

Attach Resume

Headquarters

Medford Office

Myrtle Point Office