EMPLOYMENT APPLICATION

EMPLOYMENT APPLICATION

It is our policy to comply with all applicable state and federal laws prohibiting discrimination in employment based on race, age, color, sex, religion, national origin, disability, or other protected classifications. Please carefully read and answer all questions. You will not be considered for employment if you fail to completely answer all the questions on this application.
PERSONAL

Print name exactly as it appears on social security card.
First Name
Middle Name
Last Name
Date of Birth

MonthDayYear
Date
Social Security Number
xxx-xx-xxxx
Address

Present Address Number and Street

Street Address Line 2

City/State/ZipState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Emergency Contact Person
Emergency Contact Person
Please enter a valid phone number.
Are you over 18 years old?

YesNo
Do you have the legal right to work in the USA? (Verification will be required)

YesNo
Are you related to anyone employed at Stolhand-Wells?

YesNo
If so, who?

JOB INTEREST/EXPERIENCE
What are you seeking?

Full TimePart Time
Date available to start?

MonthDayYear
Date
What is your expected Salary?
What position do you desired or applying for?
Would you consider overtime?

YesNo
If yes, how many hours per week?
Have you ever applied to, or worked for, Stolhand?

YesNo
If yes, when?
What training have you had?
Provide copies of any certifications you have.
What other experience have you had that would benefit our company?
If you have worked for a competitor? Give name of competitor, dates of employment, reason for leaving and a brief description of the duties performed.

EDUCATION
What is the highest level of education you have completed?

High SchoolGEDBusiness, Trade, Technical, or VocationalCollegeGraduate School
Name of school
City / State
Major/Degree

DRIVER’S LICENSE

List any permit or license held within the last three years
Driver’s License Number
Date of Expiration

MonthDayYear
Date
Issued by which state?
Type or class of license
Driver's License Number
Date of Expiration

MonthDayYear
Date
Issued by which state?
Type or class of license
Have you ever been denied a license, permit, or privilege to operate a motor vehicle?

YesNo
Has any license, permit, or privilege ever been suspended, denied, or revoked?

YesNo
If the answer to either of these questions is yes, explain below or attach a statement giving details.

WORK HISTORY

Start with your present or most recent employment and work back. Include Military if any.
JOB 1
Company Name / Title
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
City
State/Zip
Phone Number
Please enter a valid phone number.
Duties
Reason for leaving
Starting Salary
Ending Salary

JOB 2
Company Name / Title
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
City
State/Zip
Phone Number
Please enter a valid phone number.
Duties
Reason for leaving
Starting Salary
Ending Salary

JOB 3
Company Name / Title
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
City
State/Zip
Phone Number
Please enter a valid phone number.
Duties
Reason for leaving
Starting Salary
Ending Salary
ALL APPLICANTS PLEASE READ CAREFULLY BEFORE SIGNING
I certify that any information I give during the course of applying for employment is true and complete. I understand that any false, incorrect, or misleading information or the omission of any pertinent information may be considered as sufficient reason for my discharge if hired. I further understand that this application in no way obligates Stolhand to employ me and further, is not, and is not intended to be, a contract of employment and that, if I am hired, my employment is at-will and can be terminated by either me or Stolhand, with or without notice, for any or no reason. This may be modified only by a written agreement signed by the Company President. This application will be in effect for 60 days from the date indicated below, and if employment is not offered within the 60-day period, I understand that I must reapply to be considered for future employment.

I hereby authorize Stolhand-Wells Group to investigate my current and former employment, request transcripts from, and verify other references, and make any further investigations deemed necessary in connection with my application for employment and I do hereby release Stolhand Heat & Air and all informants of all liability whatsoever resulting from such investigations. I also understand that this information will be used to contact prior employers.

I understand that an offer of employment is subject to my completion, satisfactory to the Company, of all pre-employment procedures, including prohibited substances and submission of documentation establishing my right to work in the U.S.
Date

MonthDayYear
Date
Signature

Clear
Stolhand-Wells is an "Equal Opportunity Employer". Stolhand-Wells policy is to afford fair and equal opportunity to all employees and applicants for employment without regard to race, color, religion, sex, age, national origin, marital status, disability, veteran status, citizenship status or any other characteristic protected under Federal, State, or Local law.
Should be Empty:

PERSONAL

JOB INTEREST/EXPERIENCE

EDUCATION

DRIVER’S LICENSE

WORK HISTORY

ALL APPLICANTS PLEASE READ CAREFULLY BEFORE SIGNING