Employment
We are an equal opportunity employer, dedicated to a policy of nondiscrimination in employment on any basis including race, color, age, sex, religion, disability or national origin. Consistent with the Americans with Disabilities Act, applicants may request accommodations needed to participate in the application process.
Upload a Resume:
Shop Job Application
Office Job Application
Last Name
First Name
Middle Initial
Address
City
State
Zip
Day Phone
Evening Phone
Email Address
Have you ever worked for us before?
Yes.
No.
If so, dates of employment
Have you applied with our company before? Yes.
No.
If so, when?
What position are you applying for?
Have you ever been convicted of a crime or violation other than a minor
traffic infraction?
Yes.
No.
Are you legally entitled to work in the US?
Yes.
No.
General Qualifications
Are you certified by any trade associations or agencies?
Yes.
No.
If "yes," please list all your certifications
What is you wage expectation? Per
Year
What is the speed of your keyboarding?
What software are you experienced using? (Please list)
Please list any specials skills you may have relative to the job you are applying for:
Are you willing to participate in any drug-free workplace program we presently have or may place in effect?
Yes.
No.
Do you have a valid driver’s license?
Yes.
No.
And your own transportation?
Yes.
No.
Are you willing to supply us with authorization to acquire a state-issued report of your driving record?
Yes.
No.
Education History
Elementary School
Yes.
No.
High School
Yes.
No.
Vocational Training
Yes.
No.
Trade School
Yes.
No.
College
Yes.
No.
(Note: If you answered “yes” to trade school, vocational training or college, please complete the following.)
Elaborate on any trade school, vocational training or college courses you have taken relative to the position you are applying for:
Employment History
Begin with your present employer.
From to
Company Name
Company Address
Position You Held
Average weekly take home pay
Salary
Hourly
Flat Rate
Commission
Previous Employer
From to
Company Name
Company Address
Position You Held
Average weekly take home pay
Salary
Hourly
Flat Rate
Commission
Before Previous Employer
From to
Company Name
Company Address
Position You Held
Average weekly take home pay
Salary
Hourly
Flat Rate
Commission
Are you currently working?
Yes.
No.
If “no,” why not and for how long have you been unemployed?
How soon would you be able to start with our company?
Are you willing to work nights?
Yes.
No. weekends?
Yes.
No. 3:00pm to 11:00pm?
Yes.
No.
Can we contact all your past employers?
Yes.
No.
And your present employer
Yes.
No.
References
Only list the people you have known more than a year.
First Reference
Name of non-family member
Length of time known
Relationship
Area code and phone #
Second Reference
Name of non-family member
Length of time known
Relationship
Area code and phone #
Third Reference
Name of non-family member
Length of time known
Relationship
Area code and phone #
Fourth Reference
Name of non-family member
Length of time known
Relationship
Area code and phone #
Acknowledgement and Authorization
This application is not an employment contract, nor an agreement to interview, and I understand that any employment can be terminated at any time, for any cause, without notice. I further understand that no person other than the business owner has the authority to enter into an Employment agreement with me, or make any guarantee as to the length, terms or conditions of any such employment.
I certify that to the best of my knowledge all of the information contained in this application is correct. I also authorize the investigation of all the statements contained in this application and I understand that any misrepresentation, falsification, or omission of facts from this application will be cause for immediate dismissal.
Yes.
No.
Date of application