Dunn Hardware:
EMPLOYMENT APPLICATION
If
you wish to be considered for a position, you Must complete this form and
Submit it by mail to
Submit this employment application by mail or fax
* If no military experience, please skip
to next section.
Military Experience
Branch of Service
______________________
Specialty
_______________________________
Description of Work / Experience:
_____________________________________________________________________________
_____________________________________________________________________________
Date of Enlistment
________________________ Date of Discharge ____________________
Status of Discharge
_____________________________________________________________
Most recent service location
______________________________________________________
Name (First, Middle, Last)
_____________________________________
Social Security #
_________________
Present Address
_______________________________________________________________
City
____________________ : State ______ : ZIP __________
Home Phone (_____)
_____________________ Cell Phone (_____) _____________________
Position Desired
_____________________________________
Salary Desired
$___________
Employment
Are you presently employed?
Yes No
If yes, may we inquire with your present employer? Yes
No
Have you ever applied to this company before? Yes
No
If yes, where? ______________ :
When?
____________
Have you ever worked for this company before? Yes
No
If yes, where? ________________ :
When?
___________
If yes, reason for leaving
_________________________________________________________
If yes, name of last supervisor at this company _______________________________
School Name & Location Yrs. Attended Degree/Diploma Subjects Studied
High School
College
Other
Special Training or Skills
___________________________________________________________
____________________________________________________________________________
Please list your last three employers, starting with the most recent.
Present/Last Employer
_____________________________________
Phone
(_____) ___________
Address
____________________________
City
________________ : State _____ : ZIP ________
From
________ To ________
Job Title
______________________________
Salary
___________
Name of Supervisor
_____________________________ : May we contact your supervisor?
Yes
No
Description of Work
_______________________________________________________________
____________________________________________________________________________
Reason for Leaving
____________________________________________________________
Previous Employer
_____________________________________ : Phone (_____) ___________
Address
____________________________ : City ________________ : State _____ :
ZIP
________
From
________ To ________
Job Title
______________________________
Salary
___________
Name of Supervisor
_____________________________
May we contact your supervisor? Yes No
Description of Work _______________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Reason for Leaving
____________________________________________________________
Previous Employer _____________________________________
Phone
(_____) ___________
Address
____________________________ :
City
________________ : State _____
ZIP
________
From
________ To ________
Job Title ______________________________
Salary
___________
Name of Supervisor _____________________________
May we contact your supervisor? Yes No
Description of Work _______________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Reason for Leaving
____________________________________________________________
Have you been convicted of a felony within the last five years? Yes No
If yes, please explain (A yes answer will not necessarily disqualify you from
consideration.)
____________________________________________________________________________
____________________________________________________________________________
Are you legally able to work in the U.S?
Yes No
* circle one
Authorization
I
understand that the foregoing is a preliminary questionnaire and that, prior to
being considered
for employment, I will be required to complete an
application.
I
certify that the facts contained in this questionnaire are true and complete to
the best of my
knowledge and understand that, if employed, falsified
statements on this questionnaire shall be
grounds for dismissal.
I
authorize investigation of all statements contained herein and the employers
listed above to give
you any and all information concerning my previous
employment and any pertinent information
they may have, personal or otherwise, and I release
the company from all liability for any damage
that may result from utilization of such information.
I also
understand and agree that no representative of the company has any authority to
enter into
any agreement for employment for any specified period
of time, or to make any agreement
contrary to the foregoing, unless it is in writing and
signed by an authorized company
representative.?
___________________________________________________________________________