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  • S&S Home Center Employment Application

  • Please answer all questions completely: Incomplete applications will not be considered. A résumé may be attached, but may not be substituted for the completed application or any portion thereof.

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  • Education
    High School
    Name & Locations:      
    Course of Study:      
    Years Completed:      
    Graduated?      
    Degree?      

    GED (High School Equivalent)
    Name & Locations:      
    Course of Study:      
    Years Completed:      
    Graduated?      
    Degree?      

    College
    Name & Locations:      
    Course of Study:      
    Years Completed:      
    Graduated?      
    Degree?      

    Business, Trade, or Other
    Name & Locations:      
    Course of Study:      
    Years Completed:      
    Graduated?         
    Degree?      

  • Previous Addresses (Past 7 Years)
    CityStateFromTo   
    CityStateFromTo
    CityStateFromTo

  • References
    Reference 1
          

    Reference 2
             

    Reference 3
             

  • Military Service Record
    What Branch of U.S. Armed Forces Were You In?
    Rank at Discharge?
    Duties & Special Training?   
    Honorable?          

  • Employment History
                                                       

  • Employment History
                                                             

  • Employment History
                                                             

  • Law, History, & Information
    To Applicant: Read this information carefully before answering any questions. The civil rights act of 1964 prohibits discrimination in employment because of race, color, religion, sex or national origin. Federal law also prohibits discrimination on the basis of age with respect to certain individuals. The laws of most states also prohibit some or all of the above types of discrimination as well as some additional types such as discrimination based on ancestry, marital status, or physical or mental handicap or disability.

          
       
       

       

    As an adult, have you ever been convicted of a crime (Misdemeanor or Felony?         

    (Exclude convictions that have been sealed, expunged or legally eradicated. Do not report juvenile convictions or convictions under youth offender laws.)

    If yes, please briefly describe the number of conviction(s), nature of the crime(s), the date and place of conviction and the legal disposition of the case (i.e. Sentence imposed and type of rehabilitation)

                

                   

                

  • ATTENTION!
    (If you have any questions regarding this statement, ask before signing.)

    I hereby affirm that the information provided on this application (and accompanying resume, if any) is true, complete and correct. I understand and agree that the omission or misrepresentation of any fact in the application for employment will be sufficient reason for S&S Home Center to deny me employment. I also understand and agree that should I become employed by S&S and it is later discovered I have omitted or misrepresented any fact in this application, in any supplement thereto, or any other corporate record, S&S may immediately terminate me.

    I understand that any employment with S&S Home Center, Inc. is for an indefinite term and can be terminated with or without cause, at any time at the discretion of either the company or myself. I understand that no management official other than the president of the company has any authority to enter into an agreement contrary to the foregoing or to make any assurance or promise (whether oral or written) of continued employment. I understand that hours of work will be set and may be changed by the company. If hired by S&S Home Center, I will comply with all rules and regulations of S&S Personnel Policies and Practices and other communications distributed to employees.

    I authorize S&S to obtain a consumer report containing information regarding my prior work-related injuries, claims and lawsuits, driving history, criminal history, education and/or credit in connection with evaluating me for employment, promotion, reassignment, or retention as an employee. I authorize S&S to make all necessary and appropriate investigations to verify the information contained herein and I authorize persons, schools, my current employer (if applicable), and previous employers and organizations named in the application (and accompanying resume if any), to provide any job-related information that may be required by S&S to arrive at an employment decision. I release anyone who provides such information from all liability for the consequences of providing such information, even if provided negligently.

    I understand that S&S reserves the right to require it's applicants to drug test. I understand that a positive drug test or refusal to submit to a drug test will preclude my application from further consideration.

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