Job Application

Fields marked with an asterisk (*) must be filled out before submitting.

Personal Details

Name *
Surname *
Email Address *
Address *
City *
State *
Post code *
Phone *
Position Desired *
Date Available *
 
Do You Wish To Work: * Full
Part
Seasonal
What Days Are You Available To Work 8 A.M. – 7 P.M. * Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Other Responsibilities, Include Days and Times

Education

High School *
Number of Years *
Address
Did you graduate? Yes
No
 
College
Years Attended
Address
Did You Graduate? Yes No
Other

Skills

Check All That Apply Cashier
Paint Mixing
Plumbing
Word Processing
Key Cutting
Electrical
Building Construction
Personal Computer
Other Skill

Employment History: Give names & addresses of past employers. If you are now working, present employer and reason for desire job change must be included. Also give reason for any lapse of time between jobs.

May We Contact Your Current Employer? Yes
No

Emplyer (Latest First)

Name
Start Date
End Date
Complete Address City, State, & Zip
Final Wage
Name & Phone Number of Supervisor
Title & Duties
Reason For Leaving
 
Name
Start Date
End Date
Complete Address City, State, & Zip
Final Wage
Name & Phone Number of Supervisor
Title & Duties
Reason For Leaving
 
Name
Start Date
End Date
Complete Address City, State, & Zip
Final Wage
Name & Phone Number of Supervisor
Title & Duties
Reason For Leaving
 
Upload Additional Work History As Needed. Word Doc

Military Service

Branch & Final Rank/Grade
Specialty & Reserve Status

General Information

Have You Ever Worked For This Company Before? Yes
No
If Yes, When & Where
Do you have any relatives employed by our company? Yes
No
If Yes, Who? First & Last Name.
 
Have you ever been convicted or pleaded guilty to a felony Yes
No
If Yes, Give Full Detail.
Do you have a valid driver’s license? Yes
No
If Yes, Give State & Class
Do you have a current driver’s medical card? Yes
No
If hired, can you furnish proof of age and that you are legally entitled to work in U.S.? Yes
No
How did you hear about the position? Facebook
Reaper
Website
Phone
Radio
Employee
 
Do you have any health problems that would interfere with the performance of your job? Yes
No
If Yes, Describe.
Are there any other experineces, skills, or qualifications which you feel would especially fit you for work with this company?
Upload your Resume Word Document

PLEASE READ THE FOLLOWING CAREFULLY BEFORE SIGNING BELOW This application is considered current for 90 days. If you want to be considered for employment affter this time you must resubmit your application.

 

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 imediate dismissal in accordance with cmpany policy. I authorize Larsen’s Ace Hardwareto 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 Larsen’s 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 conmany abtaining any 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 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.

Full Name
* By typing my name & checking this box, I certify that all the above is truthful. I also agree to all the terms set out in the terms of employment paragraphs above.