Employment Opportunities

 

 

The following positions are currently available:

 

Interested?

To get the process started, take a few minutes to fill out the attached application form and submit it.

 

Please choose position you are applying for.

            

            Warehouse Employee

                     
            Sales Associate

 

 

Personal Information

Name in Full

Street Address

Address (cont.)

City

State

Zip Code

Home Phone

E-mail

Social Security Number:


Referred by:


Date you can start:

-- dd/mm/yy


Are you employed?

Yes
No

If yes, may we inquire of your present employer?

Yes
No


Are you willing to work overtime?

Yes
No


US Military or Naval service and rank:


If a minor, can you produce the age/work certificate necessary to obtain employment?

Yes
No


Are you able, at the time of employment, to submit verification of your legal right to work in the US? Verification and completion of the I-9 form must be submitted no later than three business days after date of hire.

Yes
No


Have you ever been convicted of a felony which is related to the functions or qualification of the position for which you are applying? (A conviction record will not necessarily be a bar to employment.)

Yes
No

If yes, please describe fully the felony conviction (s) listing the nature of the offense (s) and your rehabilitation since the conviction (s).


Educational Background

High school grade completed:

High school name and location:


College year completed:

College name and location:

Major area of study:

Trade school name and location:

Major area of study:

Special technical skills (i.e. computer programs used, machines or special tools used):


Work Experience

List below last four employers, starting with your present or most recent place of employment.

 

Work Experience # 1:

Employer Name

Street Address

Address (cont.)

City

State

Zip Code

Dates Employed

Position

Salary

Name of Supervisor

Reason for Leaving

Work experience # 2:

Employer Name

Street Address

Address (cont.)

City

State

Zip Code

Dates Employed

Position

Salary

Name of Supervisor

Reason for Leaving

Work experience # 3:

Employer Name

Street Address

Address (cont.)

City

State

Zip Code

Dates Employed

Position

Salary

Name of Supervisor

Reason for Leaving

Work experience # 4:

Employer Name

Street Address

Address (cont.)

City

State

Zip Code

Dates Employed

Position

Salary

Name of Supervisor

Reason for Leaving


 

Personal References

List below three persons not related to you, whom you have known at least three years.

 

Personal reference # 1:

Name

Occupation

Street Address

Address (cont.)

City

State

Zip Code

Home Phone

Years Known

Personal reference # 2:

Name

Occupation

Street Address

Address (cont.)

City

State

Zip Code

Home Phone

Years Known

Personal reference # 3:

Name

Occupation

Street Address

Address (cont.)

City

State

Zip Code

Home Phone

Years Known


 

In agreeing to this statement, I certify that all of the foregoing information is a complete and accurate statement of the facts and understand that if any misrepresentation, omission or falsification be discovered, it will constitute grounds for dismissal. I hereby authorize you to conduct any investigation necessary concerning any part of my background related to the position I am seeking. I release all parties from any liability in connection with the provision and use of such information.

I understand and agree that, if employed by this organization, I will abide by its rules and regulations which I understand are subject to change. I further understand that, if hired my employment is for no definite period of time and may be terminated by either party at any time.

Agree
Disagree

 

 

 

 

 

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