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Job Application

* denotes a required field

Personal Information
* First Name:
Middle Name:
* Last Name:
* Email Address:
* Phone Number:
Referred By:

Present Address

* Address:
* City:
* State:
* Zip:
Employment Desired
* Position:
* Location
* Date you can start:
* Salary Desired:
Are you currently on layoff status subject to recall?
Are you legally eligible to work in the U.S.?
Do you have a friend or relative employed with us?
Who?
If you are applying for a delivery driver or service technician, do you have the appropriate license?
If yes, have you ever been ticketed for a moving traffic violation?
If Yes, please explain
Are you currently employed?
If "yes", may we inquire of your present employer?
Have you previously been employed here?
Where?
When?
Will you work overtime?
Applying for:
Education

High School

School Name:
City
State
Years Completed
Did you graduate?
Degree/G.P.A.

College

School Name:
City
State
Years Completed
Did you graduate?
Degree/G.P.A.

Other Training

School Name:
City
State
Years Completed
Did you graduate?
Degree/G.P.A.
General
Subjects of special study or research work:
Job related skills (typing, driver's license, etc):
Memberships in Professional or Civic Organizations (Exclude those which my disclose your race, religion, or nationality):
Have you been convicted of a crime in the past 10 years, excluding traffic violations? If "yes", describe in full:
Work Experience
Employer Name:
Position:
Employer Name:
Position:
Employer Name:
Position:
Employer Name:
Position:
Phone:
Salary:
Phone:
Salary:
Phone:
Salary:
Phone:
Salary:
Address:
Reason For Leaving:
Address:
Reason For Leaving:
Address:
Reason For Leaving:
Address:
Reason For Leaving:
Dates of Employment:
Supervisor:
Dates of Employment:
Supervisor:
Dates of Employment:
Supervisor:
Dates of Employment:
Supervisor:

Military Experience

Did you serve in the U.S. Armed Forces?
If so, what branch?
Current Status
Release type and date:
References
1. Name:
Position:
2. Name:
Position:
3. Name:
Position:
Phone:
Years:
Phone:
Years:
Phone:
Years:
Location:
Location:
Location:
Authorization

This application shall be considered active for no more than 30 days. After that time, applicants will be required to submit a new completed application.

In consideration for my employment, I agree to abide by the rules and regulations of the company, which rules may be changed, Withdrawn, added or interpreted at any time, at the company’s sole option and without prior notice to me.

I also acknowledge that my employment includes an introductory period. Completion of the introductory period is not a guarantee that my employment will continue at Sheely’s. Employment is “at will”, and may be terminated at any time, with or without cause, and with or without prior notice at the option of the company or myself.

I certify that all the answers herein are true and complete to the best of my knowledge. I understand that false or misleading information given in my application or interview process may be grounds for refusing to hire me, or discharge should I be hired.

I authorize Sheely’s Furniture to make such investigation and inquiries of my previous employers, education, criminal history, driving record, credit history, workers compensation claim history and other related matters as may be necessary in arriving at an employment decision.

I hereby indemnify Sheely’s Furiture, and all their directors, officers, employees, and such agents against any and all liabilities which may result from making such investigations or inquiries. I hereby release employers, schools, or others persons or entities involved in releasing said information from any and all liability related to the inquiries in connection with my application. Disclosure of the requested information is voluntary.

I understand this application and authorization is not and will not be intended to be a contract of, or offer of employment. I understand that the information may or may not be used in the final decision necessary in arriving at an employment decision. It is my understanding that the information obtained during this process is confidential and will remain in a designated flle. This information is not to be released to other parties for any reason.

To the extent that a specific area of investigation is prohibited by State or Federal Law, that area will not be investigated. The other areas not prohibited by State or Federal Law will be investigated at the discretion ofthe company. A copy of this authorization may be accepted as an original.

I have read, and agree to this statement