Merrilees Hardware & Supply Employment Application Form

Merrilees Hardware & Supply Employment Application Form
Name*

First NameMiddle NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Birth Date*

MonthDayYear
What store(s) are you interested in working at? (Select all that apply)*

Cleves LocationBright LocationMilan Location
Date Available to Work*
How did you hear about this job?
Were you referred by a current employee?

YesNo
Please give the name of the employee

First NameLast Name

Please indicate the times you are available to work (Please note that every employee is required to work every other weekend)*

High School*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Did you graduate?*

YesNo
College

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Did you graduate?

YesNo
Other

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Did you graduate?

YesNo
Special Courses (Please list any additional training you may have received, including military training, apprenticeship programs, vocational training, courses or seminars, etc.)

Professional Licenses / Cerifications

References

Have you ever been convicted of a felony or misdemeanor offense?*

YesNo
If yes, please explain
Are you legally eligible for employment in the United States of America?*

YesNo

I, the applicant undersigned, agree with the following statements:*

I declare that all information provided in this form is true and complete.I understand that any false information or omission may disqualify me from further consideration for employment and may result in my dismissal if discovered later.IF EMPLOYED, I UNDERSTAND THAT I HAVE BEEN HIRED AT THE WILL OF THE EMPLOYER AND MY EMPLOYMENT MAY BE TERMINATED AT ANY TIME. I UNDERSTAND MY EMPLOYMENT IS TENTATIVE BASED UPON A SUCCESSFUL COMPLETION OF A 10 YEAR CRIMINAL BACKGROUND CHECK AND BADGING PROCESS FOR ALL POSITIONS REQUIRING ACCESS WITH THE AIRPORT.I acknowledge that I meet all required qualifications for this position and am able to perform the job responsibilities outlined in the job posting.
Date*

MonthDayYear
Date
Signature*
Should be Empty: