APPLICATION FOR EMPLOYMENT - AN EQUAL OPPORTUNITY EMPLOYER
Today's Date *
Today's Date
Name *
Name
Address *
Address
Phone *
Phone
Location you are applying for *
Date Available *
Date Available
Can you stand for long periods of time during your shift?
Can you grip, grasp, and twist using your hands and wrists?
Can you lift and /or carry up to 25 lb. regularly during your shift?
Can you reach over your head with 10 – 25 lb. loads regularly during your shift, if required?
EDUCATION
Name and location
Do you have a diploma or GED?
Name and location
Name and location
Name and location
SKILLS
Check all that apply
EMPLOYMENT HISTORY
GIVE NAMES AND ADDRESSES OF ALL PREVIOUS EMPLOYERS. IF YOU ARE CURRENTLY EMPLOYED, PRESENT EMPLOYER AND REASON FOR DESIRE TO QUIT MUST BE INCLUDED. ADDITIONAL PAPER WILL BE PROVIDED UPON REQUEST. ALSO GIVE REASON FOR ANY LAPSE OF TIME BETWEEN JOBS.
May we contact your current employer?
List most recent employer first
Employer Address
Employer Address
Dates Employed - Start Date
Dates Employed - Start Date
Dates Employed - End Date (If Applicable)
Dates Employed - End Date (If Applicable)
Starting Wage - Final Wage
List second most recent employer
Employer Address
Employer Address
Dates Employed - Start Date:
Dates Employed - Start Date:
Dates Employed - End Date:
Dates Employed - End Date:
Starting Wage - Final Wage
MILITARY SERVICE
GENERAL INFORMATION
Have you ever been employed by our Company?
Do you have any relatives currently employed by our Company?
Have you ever been convicted or pleaded guilty to a felony?
Have you ever been arrested?
Have you ever been fired from employment?
If hired, can you furnish proof of age?
If hired, can you furnish proof you are legally entitled to work in the U.S.?
REFERENCES
Phone Number
Phone Number
Phone Number
Phone Number
Phone Number
Phone Number
Phone Number
Phone Number
PLEASE READ THE FOLLOWING CAREFULLY BEFORE SIGNING BELOW:
I CERTIFY THAT THE INFORMATION CONTAINED IN THIS APPLICATION AND/OR ANY SUPPLEMENT THERETO, IS CORRECT TO THE BEST OF MY KNOWLEDGE AND UNDERSTAND THAT ANY MIS-STATEMENT OR OMISSION OF INFORMATION IS GROUNDS FOR DISMISSAL IN ACCORDANCE WITH COMPANY POLICY. I AUTHORIZE ACE HARDWARE TO CONTACT MY CURRENT OR PRIOR EMPLOYERS AND/OR THE ABOVE REFERENCES AND REQUEST ANY INFORMATION CONCERNING MY PREVIOUS EMPLOYMENT AND ANY PERTINENT INFORMATION THEY MAY HAVE, PERSONAL OR OTHERWISE, AND I EXPRESSLY RELEASE ACE HARDWARE AND ALL PARTIES PROVIDING SUCH INFORMATION FROM ANY AND ALL LIABILITY OR RESPONSIBILITY FOR DAMAGE THAT MAY RESULT FROM FURNISHING THE SAME TO YOU. I FURTHER UNDERSTAND SAID BACKGROUND CHECK MAY ALSO INVOLVE THE COMPANY’S OBTAINING AN INVESTIGATIVE CONSUMER REPORT ON ME WHICH MAY COVER SUCH AREAS AS MY CHARACTER, GENERAL REPUTATION AND MODE OF LIVING. I HEREBY AUTHORIZE THE COMPANY, IF THEY WISH, TO MAKE SUCH AN INQUIRY AND UNDERSTAND THAT UPON MY WRITTEN REQUEST, ADDITIONAL INFORMATION AS TO THE NATURE OF SAID INQUIRY WILL BE PROVIDED. IF I AM OFFERED A POSITION WITH THE COMPANY, I AGREE TO CONFORM TO THE APPLICABLE RULES, REGULATIONS AND POLICIES OF THE COMPANY, AND ACKNOWLEDGE THAT MY EMPLOYMENT AND COMPENSATION CAN BE TERMINATED AT ANY TIME WITH OR WITHOUT CAUSE, AND WITH OR WITHOUT NOTICE, AT THE OPTION OF EITHER THE COMPANY OR MYSELF. I FURTHER UNDERSTAND THAT NO REPRESENTATIVE OF THE COMPANY HAS ANY AUTHORITY TO MAKE ANY AGREEMENT CONTRARY TO THE FOREGOING OR TO BIND THE COMPANY FOR THE EMPLOYMENT OF ANY PERSON FOR ANY SPECIFIED PERIOD OF TIME.
STATEMENT OF A DRUG-FREE WORKPLACE
THE HARDWARE COMPANY FORSYTH, LLC IS COMMITTED TO MAINTAINING A DRUG-FREE WORKPLACE IN COMPLIANCE WITH APPLICABLE STATE AND FEDERAL LAWS. THE UNLAWFUL POSSESSION, USE, DISTRIBUTION, DISPENSATION, SALE OR MANUFACTURE OF CONTROLLED SUBSTANCES IS STRICTLY PROHIBITED. VIOLATION OF THIS POLICY WILL RESULT IN THE IMMEDIATE TERMINATION OF EMPLOYMENT AND ANY NECESSARY LEGAL ACTION THEREAFTER. AS A CONDITION OF EMPLOYMENT, EMPLOYEES ARE REQUIRED TO ABIDE BY THIS STATEMENT AND SUBMIT TO A DRUG TEST. BY SIGNING BELOW, I HEREBY ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE ABOVE "STATEMENT OF A DRUG-FREE WORKPLACE" FOR THE HARDWARE COMPANY FORSYTH, LLC AND AGREE TO ITS TERMS.
Applicant's Electronic Signature:
This applicant is considered current for 90 days. if you want to be considered for employment after this time you must renew your application in writing. You must fill in your own application and fully complete this application in order to receive proper consideration.
Today's Date
Today's Date