Three Wooden Crosses

Position & Classification

Select the position you are applying for. Pay rate will auto-populate based on your selection.

Job Position

Applying For *

Available Start Date

Desired Hours / Week

Worker Classification

Please select how you will be engaged — this determines which tax forms we need.

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W-2 Employee

Standard employment with payroll, benefits, and tax withholding.

Standard Employment

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1099 Independent Contractor

Provide services independently. Self-responsible for taxes.

Independent Contractor

Personal Information

Your contact and identification details. This information will be used across all payroll reports.

Full Legal Name

First Name *

Middle Name / Initial

Last Name *

Demographic & Contact

Gender *

Male

Female

Date of Birth *

Ethnicity

Email Address *

Mobile Phone *

Home Address

Street Address *

City *

State *

ZIP Code *

Emergency Contact

Contact Name *

Relationship

Emergency Phone *

Tax Information

Federal and state tax withholding details for your payroll record.

Federal Tax Withholding (W-4)

Social Security Number (SSN) *

Federal Filing Status *

Dependents / Allowances

Additional Federal Withholding ($/period)

Federal Tax Exempt?

No

Yes — Claim Exemption

State Tax Withholding

SUI Work State

State Filing Status

State Exemptions

State Additional Withholding ($/period)

Tax Exempt Reason (if applicable)

I-9 — Employment Eligibility

Citizenship / Immigration Status *

Primary ID Document Type

Document Number

Document Expiration

W-9 — Contractor Tax Information

Business / Legal Name (as on tax records) *

Taxpayer ID (TIN / SSN / EIN) *

Business Entity Type

Business Address (if different from personal)

I certify that the TIN provided is correct, I am not subject to backup withholding, and I am a U.S. person. (W-9 Certification)

Direct Deposit & Banking

Enter your banking details for payroll direct deposit. Routing and account numbers must be entered twice for accuracy.

Bank Account Information

Your banking information is encrypted and used only for direct deposit payroll purposes.

Bank Name

Account Type *

Checking

Savings

Direct Deposit Amount

Direct Deposit Frequency

Routing & Account Numbers (enter twice to confirm)

Routing Number *

Confirm Routing Number *

Account Number *

Confirm Account Number *

Employment History & Background

List your previous and current employment. Add as many employers as needed.

Employment History

Employer #1

Company Name

Job Title

Start Date

End Date

Still Currently Employed There?

Yes

No

Reason for Leaving

Supervisor / Manager Name

Skills & Certifications

Relevant Skills

Certifications / Licenses

Background Disclosure

Have you ever been convicted of a felony? *

No

Yes

Are you legally authorized to work in the United States? *

Yes

No

Policy Review & Agreement

Please read the complete workplace policy and confirm your acknowledgments below.

↕ Scroll through the full policy before acknowledging

WORKPLACE POLICY AGREEMENT

1. Purpose

This policy establishes clear expectations for employee punctuality and compliance with drug screening requirements at Three Wooden Crosses, essential to maintaining a safe, productive, professional work environment.

2. Punctuality Policy

2.1 Attendance Expectations — All employees must report to work at their designated start time and notify their supervisor as soon as possible if late or absent.

2.2 Three-Strike Tardiness Rule — No employee shall arrive more than thirty (30) minutes late to their scheduled shift.

1st Occurrence: Verbal warning documented in employee file
2nd Occurrence: Written warning and counseling session
3rd Occurrence: Suspension without pay or termination at management's discretion

Tardiness occurrences counted within a rolling 6-month period.

3. Drug Screening Policy

3.1 Three Wooden Crosses maintains a drug-free workplace. Testing types include: Pre-Employment, Reasonable Suspicion, Post-Accident, and Random screening.

3.2 Consent — By signing, employees consent to drug screening when requested. Refusal = positive result. Positive results may result in suspension or termination.

4. Company Phone Policy

Company phones must remain ON and accessible 24/7. Location services must be enabled at all times. Failure to comply may result in disciplinary action up to termination.

5. At-Will Employment

Employment with Three Wooden Crosses is at-will. This policy does not create a contract of employment and may be modified at management's discretion at any time.

Policy Acknowledgments

I have read and understand the Punctuality Policy, including the three-strike tardiness rule and the 30-minute threshold.

I consent to drug screening as required by policy (pre-employment, reasonable suspicion, post-accident, random). Refusal = positive result.

If issued a company phone, I agree to keep it on 24/7 with location services enabled.

I understand failure to comply may result in disciplinary action including termination.

I understand my employment is at-will and this policy does not constitute a contract of employment.

Electronic Signatures

Sign using your finger, stylus, or mouse. All three signatures are required for submission.

Employee Application Signature

I certify that all information provided in this application is true, complete, and accurate.

Sign here

Date:

Policy Agreement Signature

I acknowledge I have read, understand, and agree to comply with all Three Wooden Crosses workplace policies.

Sign here

Date:

Drug Screening Consent Signature

I consent to pre-employment, reasonable suspicion, post-accident, and random drug screening as outlined in company policy.

Sign here

Date:

Compensation (Auto-Populated from Role Selection)

Job Title (Confirmed)

Pay Rate

Pay Type

Department

Manager

Manager Employee #

Work Location

Hire Date

Position & Classification

Personal Information

Tax Information

Direct Deposit & Banking

Employment History & Background

Employer #1

Policy Review & Agreement