Employment Application

Magbee Contractor Supply is an Equal Opportunity Employer and Prohibit Discrimination and Harassment of Any Kind: We are committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment. All employment decisions at Magbee are based on business needs, job requirements and individual qualifications, without regard to race, color, religion or belief, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. Magbee Contractor Supply will not tolerate discrimination or harassment based on any of these characteristics. We encourage applicants of all ages. Applicants requiring accommodation to the Application and/or Interview Process should notify a representative in our Human Resources Department.

Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Email*

example@example.com

Position(s) Applying For*

Date of Application*

Date

YesNo

YesNoNeed more information about the job 'Essential Functions'

YesNo

If you answered Yes to the previous question - briefly explain. *

YesNo

If you answered Yes to the previous question - briefly explain.*

Starting with your most recent employer provide the following information.

1. Employer

1. Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

1. Telephone Number

Please enter a valid phone number.Format: (000) 000-0000.

1. Immediate Supervisor's Name

1. Briefly describe the type of work you did & job responsibilities.

1. What were the things you liked best about your job?

1. What were the things you liked least about your job?

1. Why did you leave?

YesNoLater

2. Employer

2. Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

2. Telephone Number

Please enter a valid phone number.Format: (000) 000-0000.

2. Immediate Supervisor's Name

2. Briefly describe the type of work you did & job responsibilities.

2. What were the things you liked best about your job?

2. What were the things you liked least about your job?

2. Why did you leave?

YesNoLater

Explain any gaps in your employment other than those due to personal illness, injury, or disability.

YesNo

If you answered Yes to the previous question, please briefly explain.

High School

Please include High School Name, City and State

YesNo

Year you graduated High School

YesNo

College

Please include College Name, City and State

YesNo

Year you graduated College

YesNo

College Major

Trade School/Other

Please include Trade School/Other Name, City and State

YesNo

Year you graduated

YesNo

List the names and numbers of three business/work/professional references who are NOT related to you and are NOT previous supervisors. If not applicable, list three school or personal references who are NOT related to you.

1. Reference Name

1. Reference Phone

Please enter a valid phone number.Format: (000) 000-0000.

2. Reference Name

2. Reference Phone

Please enter a valid phone number.Format: (000) 000-0000.

3. Reference Name

3. Reference Phone

Please enter a valid phone number.Format: (000) 000-0000.

I hereby certify that the information contained in this employment application is true and complete to the best of my knowledge. I understand that material omissions or falsification of this application in any detail may result in my disqualification from consideration for employment or for dismissal from employment. I also understand that my employment is subject to a satisfactory check of references. I expressly authorize the employer, its representatives, employees or agents the right to investigate the information given and to secure additional information if necessary. I authorize my previous employers, educational institutions, and all other individuals and organizations listed in this application form to give information about my employment, work habits, and character. I agree that my previous employers, educational institutions, and all other individuals and organizations listed in this application will not be held liable in any respect if an employment offer is not made, is withdrawn, or if my employment is terminated because of misrepresentations or omission of requested information. I understand that upon offer and acceptance of a position with this company I will be required to immediately furnish documentation establishing my identity and eligibility to be legally employed in the United States. I understand that this application remains current for only 30 days. If I have not heard from this employer and still wish to be considered for employment, it will be necessary for me reapply and fill our a new application. I understand this employer is in no way obligated to provide employment, and also that I am in no way obligated to accept employment, if offered. This application does not bind either party, and the statements contained herein do not constitute and should not be interpreted to constitute any sort of contract of employment for a specific period of time. This company is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment in the workplace. We welcome applicants of diverse backgrounds, and hire without regard to race, color, creed, religion, sex, gender identity or expression, sexual orientation, marital or parental status, national origin, ancestry, citizenship, age, disability, genetic information, political affiliation, military service, or any other characteristic protected by law. We will consider for employment qualified applicants with arrest and conviction records. DO NOT SIGN UNTIL YOU HAVE READ THE ABOVE STATEMENT.

YesNoI need help understanding terms

Applicant Signature*

Date of application*

Date

Employment Application

Your Information

Employment Information

Educational Background

References

Applicant Statement