Northern Horizons : Employment Application

Northern Horizons, Inc. is a Piping contractor with fabrication facilities in Solway, MN (10 miles west of Bemidji, MN) for over 14 years. Owned and operated by David Holmes, Northern Horizons, Inc. has over 35 years experience in engineering design and pipe fabrication.

Our goal is to operate a first-rate company while offering our employees an exciting and rewarding career. Northern Horizons, Inc. is continually searching for competent individuals who will compliment our company with their expertise.

Northern Horizons, Inc. accepts applications via fax (218-467-3567), in person or on-line (fill out form below). Please use one of these options to submit your application.

Fax application to: 218-467-3567
Deliver application in person to: 15805 Caribou Footed Dr NW, Solway, MN 56676
or Fill out the form below and submit to us on-line.

Northern Horizons, Inc. is an equal opportunity, affirmative action employer and strictly prohibits discrimination against any employee or applicant for employment because of race, color, religion, sex, national origin, age, marital status, disability or veteran status.

ONLINE EMPLOYMENT APPLICATION

Today's Date:

Date available to start work:

Position Desired:

PERSONAL DATA

First Name:

Middle Name:

Last Name:

Current Address:
(#, street, city, state, zip)

Permament Address:
(#, street, city, state, zip)

Current Telephone:

Permanent Telephone:

Email:

EDUCATION

Name of School	Location	Years Credit	Graduate? Yes No
Degree	Course / Major Subject

Name of School	Location	Years Credit	Graduate? Yes No
Degree	Course / Major Subject

Name of School	Location	Years Credit	Graduate? Yes No
Degree	Course / Major Subject

Name of School	Location	Years Credit	Graduate? Yes No
Degree	Course / Major Subject

EMPLOYMENT HISTORY

Present or Last Employer:

Address:

Job Title:

Start Date:

End Date:

Start Pay:

End Pay:

Reason for Leaving:

Supervisor Name/Title:

Supervisor Telephone:

May we contact them?
Yes No

Enter description of work and responsibilities:

Present or Last Employer:

Address:

Job Title:

Start Date:

End Date:

Start Pay:

End Pay:

Reason for Leaving:

Supervisor Name/Title:

Supervisor Telephone:

May we contact them?
Yes No

Enter description of work and responsibilities:

Present or Last Employer:

Address:

Job Title:

Start Date:

End Date:

Start Pay:

End Pay:

Reason for Leaving:

Supervisor Name/Title:

Supervisor Telephone:

May we contact them?
Yes No

Enter description of work and responsibilities:

UNION AFFILIATION

List Union, Local #, Class, etc:

MILITARY

Have you served or are you serving in the United States Armed services?

Yes No

Dates of Service:

Rank at Discharge:

Nature of duties and any special training and honors received:

Have you ever been dishonorably discharged from military service?

Yes No

RECORD

Have you ever been convicted of or entered a plea of guilty to a felony?

Yes No

If yes, explain fully:

PERSONAL REFERENCES

Name (not a relative/employer):	Address/Telephone Number::	Occupation:
Name (not a relative/employer):	Address/Telephone Number::	Occupation:

EMERGENCY CONTACT

Contact Name/Relationship:		Employer:
Contact Address:
Phone Number:	Cell Phone Number:	Beeper Number:	Alternate Number:

ACKNOWLEDGEMENTS & SIGNATURE

IMPORTANT: Checking this box will serve as your digital signature. Applications will not be considered without this box checked. It verifies that you have filled out the application accurately and honestly. We will contact you with any further questions.

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