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Employment Application

Personally fill out application completely and truthfully.

Applicant Information
Male or Female Male Female
Are you at least 18 years old? Yes No
Employment Desired
Are you employed now? Yes No
If yes, may we inquire of your present employer? Yes No
Have you ever applied to the company before? Yes No
If yes, when.
Education
Did you graduate? Yes No
Did you graduate? Yes No
Did you graduate? Yes No
General Information
Have you ever been convicted of a crime? Yes No
If yes, explain.
Do you have reliable transportation? Yes No
Have you had any moving violations in the past 3 years? Yes No
If yes, how many?
Have you had any accidents in the past 3 years? Yes No
If yes, how many?
List any job/work related skills you may have (typing, computer experience, fork lift training, etc.)
Have you had or do you have any relatives working here? Yes No
If yes, name them?
List any other hobbies or activities (other than religious)
Employment History
May we contact this previous supervisor for a reference?
Yes No
May we contact this previous supervisor for a reference?
Yes No
May we contact this previous supervisor for a reference?
Yes No
May we contact this previous supervisor for a reference?
Yes No
Have you ever been disciplined or discharged for misconduct or forced to resign from any position? If so, state date, name and address of your employer and reason for discipline, discharge or forced resignation in each case.
References

If you are to be hired by Bailey Discount Building Supply, Inc. (the Company), you will be required to attest to your identity and employment eligibility, and to present documents confirming your identity and employment eligibility. You cannot be hired if you cannot comply with these requirements.

AUTHORIZATION & SIGNATURE

I certify that the information provided in this application (and any accompanying resume) are true and complete. If employed I understand that any misstatement, omission, or misrepresentation on this application is sufficient cause for refusal to hire, or dismissal if I have been employed, no matter when discovered by the Company. I authorize the verification of any or all information listed in this application.

I understand and agree that nothing in this application, or conveyed during any interview, is intended to create an employment contract. I further understand and agree that if I am hired, my employment shall be probationary for a period of thirty (30) days, and further that at any time during the probationary period or thereafter, my employment relation with the Company is terminable “at will” and without fixed term, and may be terminated at any time, with or without cause and without prior notice, at the option of the Company. Your electronic signature below indicates that you have read and understand the “at will” policy. No promises regarding employment have been made to me, and I understand that no such promise/guarantee is binding upon the Company unless made in writing.

If I am offered employment I agree to submit to a background check before starting work at the Company. If employed, I also agree to submit to drug testing and at any time deemed appropriate by the Company and as permitted by law. I request that the results be disclosed to the Company, and to which results shall remain confidential and segregated from my personnel file. I understand that my employment or continued employment, to the extent permitted by law, is contingent upon satisfactory results from drug testing/background check, and if I am hired a condition of my employment will be that I abide by the Bailey Discount Building Supply, Inc. employee handbook and all its policies included therein. The Company retains the right to revise its policies and/or procedures, in whole or in part, at any time.


Typing your name here is your electronic signature.
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