Hi-Lo Industries, Inc. Application for Employment

WE ARE AN EQUAL OPPORTUNITY EMPLOYMENT COMPANY. WE ARE DEDICATED TO A POLICY OF NON-DISCRIMINATION IN EMPLOYMENT ON ANY BASIS INCLUDING RACE, CREED, COLOR, AGE, SEX, RELIGION, NATIONAL ORIGIN, PHYSICAL HANDICAP, DISABILITY, OR VETERAN STATUS. The following information is requested in order to make the best possible placement within the company. All portions of this application pertaining to you must be completed in order for you to be considered for employment.

Note: All applicants will be required to complete a drug screening.

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Date

MonthDayYear

E-mail

Full Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Social Security Number

Phone Number

Area CodePhone Number

Phone Number Type

HomeMessageMobile

May we contact you at work?

YesNo

Work Number

Area CodePhone Number

Desired Position

Desired Wage

Check any skills with which you have experience.

Wood WorkingSpraying

What date can you start?

MonthDayYear

Which do you prefer?

Full-timePart-timeTemporarySummer

Which shift(s) are you available? (Check any that apply.)

DayWeekdaysEvening

Are you available to work overtime, including weekends, if required?

YesNo

If the position requires, do you have the appropriate valid driver's license?

YesNo

Have you ever applied at any Hi-Lo Industries, Inc. division before?

YesNo

When did you apply?

MonthDayYear

Have you ever been employed at any Hi-Lo Industries, Inc. division before?

YesNo

When were you last employed by Hi-Lo?

MonthDayYear

Are you at least 18 years of age?

YesNo

Are you legally eligible for employment in this country?

YesNo

The majority of our jobs require the ability to read a tape measure. Please select measurement indicated in the image above.

3 7/16"3 1/2"3 5/8"

Select measurement indicated in the image above.

1 5/16"1 3/4"1 5/8"

List your last four employers, starting with the most recent. Include employment dates, employer name and address, salary, and position held.

Please list any names you may have used in the past to help us confirm past employment. (Example: maiden name.)

List all schools attended (Any applicable: grammar, high school, college, trade). Include name and location of school, years attended, whether or not you graduated, and subjects studied.

Please provide the names of two persons, not related to you, whom you have known at least one year. Include name, address, business, and years acquainted.

Have you been convicted of any crime?

YesNo

Please explain. Include what you were convicted of, when, where, and any necessary explanation.

It is understood and agreed that any misrepresentation by me in this application will be sufficient cause for cancellation of the application and/or separation from the employer's service if I have been employed. Furthermore, I understand that just as I am free to resign at any time, the employer reserves the right to terminate my employment at any time, with or without cause, and without prior notice. Also, I understand that no representative of the Employer has the authority to make any assurances to the contrary.

I give the Employer the right to investigate all references and to secure additional information about me, if job related. I hereby release from liability the Employer and other organizations for furnishing such information.

The Employer is an equal opportunity employer. The Employer does not discriminate in employment and no question of this application is used for the purpose of limiting or excluding any applicant's consideration for employment on a basis prohibited by local, state or federal law.

This application is current for only ONE year. At the conclusion of this time, if I have not heard from the Employer and still wish to be considered for employment, it will be necessary for me to fill out a new application.

I have read and agree with the above statement.

Yes

Employment History

Education History

References

Criminal History

Terms and Conditions