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.?
___________________________________________________________________________