APPLICATION FOR EMPLOYMENT

NOTICE TO ALL APPLICANTS: Marvin Windows and Doors has a drug testing policy that requires drug testing as part of the post-conditional offer process for all applicants extended a conditional offer of employment.

Please complete this application in its entirety. Your opportunity for employment with Marvin Windows and Doors will depend upon the completeness and accuracy of information on this form.

PLEASE PRINT PLAINLY Date __________________

Name ___________________________________________________________________________________ Last First Middle

Home No. (_____) ___________________________Cell No. (_____) ________________________________

E-mail address: ___________________________________________________________________________

Previous addresses in the last (7) years beginning with present address:

Mailing address ________________________________________________________________Length of Time________ Street/PO Box City State Zip

Previous address _______________________________________________________________Length of Time________ Street/PO Box City State Zip

Previous address _______________________________________________________________Length of Time________ Street/PO Box City State Zip

Previous address _______________________________________________________________Length of Time________ Street/PO Box City State Zip

Previous address _______________________________________________________________Length of Time________ Street/PO Box City State Zip

How did you learn about employment opportunities at Marvin Windows and Doors? ______________________

Do you want to work Full-time Part-Time or Seasonal? Specify months if seasonal _____________

Have you applied for employment at Marvin previously? Yes No If yes, when? _________________

Have you worked for us before? Yes No If yes, when? ____________________________________

If hired, on what date will you be available to start work? ___________________________________________

If hired, can you provide proof that you are at least 18 years old or older? Yes No

If hired, can you provide proof that you can legally work in the United States? Yes No

Truck driver applicants must complete a vehicle operator application. To obtain one, please call 1-888-3MARVIN.

P.O. Box 100, Warroad, MN 56763

Education

Type of School Name, City, State, and Zip Code Years Completed

Graduated Yes/No Major GPA

High School 9 10 11 12

College 1 2 3 4

Post Graduate 1 2 3 4

Business or Trade 1 2 3 4

Other

GED

ReferencesName and Occupation Street Address, City, State, Zip Code Phone Number

1.

2.

3.

Please list additional employment history on the insert provided.

Dates/Mo/Yr Employer NameAddress, City, State, Zip Code

Rate of Pay Supervisor’s Name Telephone Number

Reason forLeavingFrom To Start Finish

Mo Yr Mo Yr

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Job Title: Briefly describe the work you did:

Dates/Mo/Yr Employer NameAddress, City, State, Zip Code

Rate of Pay Supervisor’s Name Telephone Number

Reason forLeavingFrom To Start Finish

Mo Yr Mo Yr

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Job Title: Briefly describe the work you did:

Dates/Mo/Yr Employer NameAddress, City, State, Zip Code

Rate of Pay Supervisor’s Name Telephone Number

Reason forLeavingFrom To Start Finish

Mo Yr Mo Yr

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Job Title: Briefly describe the work you did:

Prior Work History (Beginning with present employer, please list any and all other employers)

Prior Work History (List in order with present employer first)

Dates/Mo/Yr Employer NameAddress, City, State, Zip Code

Rate of Pay Supervisor’s Name Telephone Number

Reason forLeavingFrom To Start Finish

Mo Yr Mo Yr

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Job Title: Briefly describe the work you did:

Dates/Mo/Yr Employer NameAddress, City, State, Zip Code

Rate of Pay Supervisor’s Name Telephone Number

Reason forLeavingFrom To Start Finish

Mo Yr Mo Yr

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Job Title: Briefly describe the work you did:

Dates/Mo/Yr Employer NameAddress, City, State, Zip Code

Rate of Pay Supervisor’s Name Telephone Number

Reason forLeavingFrom To Start Finish

Mo Yr Mo Yr

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Job Title: Briefly describe the work you did:

Dates/Mo/Yr Employer NameAddress, City, State, Zip Code

Rate of Pay Supervisor’s Name Telephone Number

Reason forLeavingFrom To Start Finish

Mo Yr Mo Yr

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Job Title: Briefly describe the work you did:

Dates/Mo/Yr Employer NameAddress, City, State, Zip Code

Rate of Pay Supervisor’s Name Telephone Number

Reason forLeavingFrom To Start Finish

Mo Yr Mo Yr

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Job Title: Briefly describe the work you did:

Dates/Mo/Yr Employer NameAddress, City, State, Zip Code

Rate of Pay Supervisor’s Name Telephone Number

Reason forLeavingFrom To Start Finish

Mo Yr Mo Yr

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Job Title: Briefly describe the work you did:

19913520 2013-12-13

Employment Desired with Marvin Windows and Doors

You do not need to complete this page if you are applying directly for a specific position, outside of production, and do not wish to be considered for other employment opportunities within the company.

Are you able to work any work schedule? Yes No(If you checked No, what work schedule can you work?) ___________________________________________

Please rank preference (1 - most desired; 2 - second choice; etc.)

______ Medium Factory Production Work - wage desired $ ________________________

Work in this area generally involves physical activities such as: standing on concrete for 10 hour shifts; performing repetitive hand, wrist and arm motions; working at an established production rate pace entailing pushing and/or pulling of materials up to 50 pounds; lifting and carrying up to 35 pounds occasionally and up to 20 pounds frequently, team lifting may be required for heavier lifting; performing work which requires bending, stooping, twisting, and turning; and climbing stairs and ladders and working in elevated areas.

______ Heavy Factory Production Work - wage desired $ ________________________

Work in this area generally involves physical activities such as: standing on concrete for 10 hour shifts; performing repetitive hand, wrist, and arm motions; working at an established production rate pace entailing pushing and/or pulling of materials up to 50 pounds; lifting and carrying up to 50 pounds occasionally and up to 25 pounds frequently, team lifting may be required for heavier lifting; performing work which requires bending, stooping, twisting, and turning; and climbing stairs and ladders and working in elevated areas.

______ Very Heavy Factory Production Work - wage desired $ ________________________

Work in this area generally involves physical activities such as: standing on concrete for 10 hour shifts; performing repetitive hand, wrist, and arm motions; working at an established production rate pace entailing pushing and/or pulling of materials up to 100 pounds; lifting and carrying up to 100 pounds occasionally and up to 50 pounds frequently, team lifting may be required for heavier lifting; performing work which requires bending, stooping, twisting, and turning; climbing stairs and ladders and working in elevated areas; and ability to work in extreme temperatures.

______ Maintenance (Please provide a resume) - wage desired $ ________________________

• What license or certification do you possess: __________________________________________________________

• Length of maintenance experience in years: ___________________________________________________________

• Position desired: ________________________________________________________________________________

______ Home Center - wage desired $ ________________________

Marvin employs retail employees in the areas of clerk, window sales, lumber yard, estimator, etc. • Position desired: ________________________________________________________________________________

______ Office (Please provide a resume) - wage desired $ ________________________

Marvin employs office employees in the areas of data processing, clerical, receptionist, support services, etc. • Position desired: ________________________________________________________________________________

______ Professional (Please provide a resume) - wage desired $ ________________________

Marvin employs professional employees in the areas of computer programming, engineering, research & development, accounting, architectural, sales, marketing, human resources, purchasing, etc.

• Position desired: ________________________________________________________________________________

Disclosure and Release of Information Authorization

NOTE: The following information, which is required for pre-employment screening purposes, IS NOT considered as part of your application for employment. It is used ONLY for identification purposes, verifying information and conducting a background check. PLEASE PRINT CLEARLY. ______________________________________________________________________________________________________________________ Last Name First Name Middle Name Date of Birth ______________________________________________________________________________________________________________________ Street Address City State ZIP ______________________________________________________________________________________________________________________ Drivers License No. State of License Expires On ______________________________________________________________________________________________________________________ List any other CITIES AND STATES in which you have lived or worked during the previous 7 years. ______________________________________________________________________________________________________________________ List any other LAST NAMES you have used during the previous 7 years. ______________________________________________________________________________________________________________________ List any other LAST NAMES under which you received your GED, high school diploma, or other degrees. I authorize Marvin Windows and Doors and Employment Screening Associates, a consumer reporting agency, to retrieve information from all personnel, educational institutions, government agencies, companies, corporations, credit reporting agencies, law enforcement agencies at the federal, state (including the Minnesota Bureau of Criminal Apprehension), or county level, or individuals, relating to my past activities, to supply any and all information concerning my background, and release the same from any liability resulting in providing such information. The information received may include, but is not limited to, academic, residential, achievement, job performance, attendance, litigation, personal history, credit reports, driving history, and criminal history records. If my prior employers and/or references are contacted, the report may include information obtained through personal interviews regarding my character, general reputation, personal characteristics and/or mode of living. If currently employed: My current employer may be contacted. _____ YES _____ NO I understand that a consumer report may be prepared summarizing this information, and I understand that my employment, promotion, or retention may be determined in whole or in part based on any consumer report or investigative consumer report generated by the consumer reporting agency identified above. I may request a copy of any report that is prepared regarding me and may also request the nature and substance of all information about me contained in the files of the consumer reporting agency. I understand that proper identification will be required and that I should direct my request to: Employment Screening Associates, 8040 Blue Ash Rd., Cincinnati, OH 45236. Phone: (800) 706-8848. I would like a copy of any report regarding me. ____ YES ____ NO I agree that a photocopy of this authorization may be accepted with the same authority as the original. I also agree that this release will remain in effect throughout my employment with Marvin Windows and Doors. ______________________________________________________ ____________________________________________ _________________________________ Signature Social Security Number Date NOTARY. Currently required for Statewide Criminal Checks in AL, GA, NM, RI, WV, and WY; sometimes required in MN depending on search. State_____________________________________________ County of_____________________________________ Signature__________________________________________ My Commission Expires on_______________________

Use the space below to provide any additional information.

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Applicant’s Certification and Acknowledgment

I certify that the information contained in this application is true and complete to the best of my knowledge. I understand that any false statement, intentional omission or misrepresentation on this application or at any time in the hiring process is sufficient cause for refusal to hire, or dismissal if I have been employed, no matter when discovered by Marvin Windows and Doors.

I hereby authorize Marvin Windows and Doors and its agents, to the extent permitted by law, to investigate all statements contained in my application, resume, and otherwise provided during the hiring process and to solicit information regarding my current and former employment, education, character, and general reputation. I authorize my current and former employers, references, and relevant parties to disclose such information to Marvin Windows and Doors, and I voluntarily and knowingly fully release and hold harmless any person or organization that provides such information from any and all claims, demands, or liabilities arising out of or related to the investigation, disclosure, or use of such information.

I understand and agree that nothing obtained in this application, or conveyed during any interview, is intended to create a contract, offer, or promise of employment. I further understand and agree that if I am hired, my employment will be at will and without fixed term, and may be terminated at any time, with or without prior notice, at the option of either myself or Marvin Windows and Doors. No promises regarding employment have been made to me, and I understand that no such promise or guarantee is binding upon Marvin Windows and Doors unless made in writing by an authorized Marvin Windows and Doors officer or official.

I understand that, should I receive a conditional employment offer, such offer may be conditioned on my successful completion of a background check, credit check, physical examination, and/or alcohol and drug screening, as permitted by local, state, and federal law. I consent to such inquiries, examinations, and tests, and I request the results of such tests and examinations to be disclosed to Marvin Windows and Doors, as permitted by law. I also understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the United States.

I agree that if employed, I will abide by all Marvin Windows and Doors work rules, policies, and procedures. I understand that Marvin Windows and Doors reserves the right to revise its policies or procedures, in whole or in part, at any time, with or without notice. By my continued employment, I consent to any changes.

I certify and acknowledge that I have read, fully understand, and accept the above statements and terms.

Signature of Applicant ___________________________________________ Date ________________

Marvin Windows and Doors is an Equal Opportunity Employer and does not discriminate in recruitment, hiring, training, promotion, or other employment practices because of race, color, creed, religion, national origin, sex, marital status, sexual orientation, age, disability, protected veteran or military status, status with regard to public assistance, genetic information, or any other status protected by applicable federal, state, or local law. Marvin Windows and Doors will make reasonable accommodations to the known qualifying disabilities of applicants and employees when doing so will not impose an undue hardship. Applicants who believe they may need reasonable accommodation to enable them to participate in the application process should contact Human Resources.

19913520 2015-04-16