Bernhardt Application for Employment

APPLICATION FOR EMPLOYMENT

Bernhardt Furniture Company is an equal opportunity employer and complies with all applicable federal, state and local fair employment practices laws. Bernhardt Furniture Company strictly prohibits and does not tolerate discrimination against employees, applicants or any other covered persons because of race, color, religion, creed, disability, national origin or ancestry, ethnicity, sex (including pregnancy and sexual orientation), gender (including gender nonconformity and status as a transgender or transsexual individual), age, physical or mental disability, citizenship, past, current or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state or local laws.
Date of Application*

MonthDayYear
Full Name*

FirstMiddleLast
Address*

Street

Street Address Line 2

CityState

Zip
Home Phone*
Mobile Phone*
Email Address*
Are you employed now?*

YesNo
Are you legally authorized to work in the US?*

YesNo
Are you at least 18 years or older?*

YesNo
May we inquire of your present employer?*

YesNo
Have you worked at BERNHARDT in the past?*

YesNo
Have you been convicted of a felony?*

YesNo
If yes, please explain
(Note: Applicants need not include a reference to or information concerning any conviction that has been expunged. Convictions will not necessarily disqualify applications from employment.)
EDUCATION

	School Name and Location	Highest Grade Completed	Course of Study or Major
High School or G.E.D. equivalent
Other (including military training)

REFERENCES
Name

First NameLast Name
Phone #
Email Address
Relationship
Years Acquainted
Name

First NameLast Name
Phone #
Email Address
Relationship
Years Acquainted
The information submitted on this application is true and accurate the best of my knowledge and I understand that misstatement or omission of facts will be sufficient cause for rejection of this application or, if employment has commenced, cause for dismissal. I hereby authorize former employers, schools, and others to release information concerning this application whether such information is part of a record or not and I hereby release them or their company from any liability whatsoever.

I understand that employment can be terminated at will be myself or the company, and that no representative of the company, other than the President/CEO, has authority to make any contrary agreement.

I also understand that unless specifically renewed by me, this application will receive active consideration for 90 days only.
Date*

MonthDayYear
Applicant’s Signature *

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APPLICATION FOR EMPLOYMENT