Mills Hardware Job Application

Job Application Form

Please Fill Out the Form Below to Submit Your Job Application!
Name*

First NameLast Name
E-mail*
Phone Number*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Applied Position
Earliest Possible Start Date

MonthDayYear
Type of employment desired?*

Full TimePart-TimeTemporarySeasonalEducational Co-Op
What is your desired salary range?*
Have you submitted an application to Mills Hardware before? *
Have you ever been employed by Mills Hardware? *
If "YES," Please explain in the space provided below
Are you legally eligible for employment in this country?*
If you are under 18 years of age, are you able to provide required proof of eligibility to work?*
Are any of the following applicable? *
Have you been convicted of a felony within the last 7 years? *
If "YES," Please explain in the provided space below
Cover Letter
Please do not exceed 200 words.
Upload Resume

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Any Other Documents to Upload

You can share certificates, diplomas etc.
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Employment History

Provide the following information of your past four employers, assignments or volunteer activities, starting with the most recent, explaining any gaps in employment in the comment section below
Employer #1
Employer
Position Title
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
May we contact for reference?
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Immediate Supervisor and Title
Hourly Rate and Salary
Summarize the nature of work performed and job responsibilities
Reason for leaving
Employer #2
Employer
Position Title
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
May we contact for reference?
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Immediate Supervisor and Title
Hourly Rate and Salary
Summarize the nature of work performed and job responsibilities
Reason for leaving
Employer #3
Employer
Position Title
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
May we contact for reference?
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Immediate Supervisor and Title
Hourly Rate and Salary
Summarize the nature of work performed and job responsibilities
Employer #4
Employer Name
Position Title
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
May we contact for reference?
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Immediate Supervisor and Title
Hourly Rate and Salary
Summarize the nature of work performed and job responsibilities
Reason for leaving

Please Provide Three References Below
Reference #1*

Full NamePosition Title
Phone Number*
Email*
example@example.com
Reference #2*

Full NamePosition Title
Phone Number*
Email*
example@example.com
Reference #3*

Full NamePosition Title
Phone Number*
Email*
example@example.com

Employer’s Statement

We consider all applicants for positions without regard to race, color, religion, sex, national origin, citizenship, age, mental or physical disabilities, veteran/reserve/national guard or any other similarly protected status. We also comply with all applicable laws governing employment practices and do not discriminate on the basis of any unlawful criteria.

Equal access to programs, services and employment is available to all persons. Those applicants requiring reasonable accommodations to the application and/or interview process should notify a representative of the Human Resource Department.

Applicant’s Statement

I certify that all information I have provided in order to apply for and secure work with the employer is true, complete and correct. I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respects, will be sufficient cause to (i) cancel further consideration of this application, or (ii) immediately discharge me from the employer’s service, whenever it is discovered.

I expressly authorize, without reservation, the employer, it’s representatives, employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume or job interview. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives, for seeking, gathering and using such information in the employment process and all other persons, corporations or organizations for furnishing such information about me.

I understand the employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by applicable local, state or federal law.

I understand that this application remains current for only 30 days. At the conclusion of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary to reapply and fill out a new application.

If I am hired I understand that I am free to resign at any time, with or without cause and without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without cause and without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no supervisor or representative of the employer is authorized to make any assurances to the contrary and that no implied oral or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by the employer’s president.

I also understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the United States and that federal

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By providing your full name below, you are agree that it serves as an electronic signature, which has the same legal validity and effect as your handwritten signature on the document and that it has the same meaning as your handwritten signature.
Full Name*
Date*

MonthDayYear
Should be Empty:

Job Application Form

Employment History

Employer #1

Employer #2

Employer #3

Employer #4

Please Provide Three References Below

Employer’s Statement

Applicant’s Statement