Date of Application: ___________________________________________________________
Position Applied For: ___________________________________________________________
How Did You Learn About This Position?
Web Site
Walk-In Friend/Relative Employment Agency _____________________
Advertisement ___________________ Other _________________________________
PERSONAL INFORMATION
Name: ________________________________________________________________________
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Address: ______________________________________________________________________
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Telephone: ____________________________ Email: ________________________________
If you are under 18, can you furnish a work permit?
Yes No
Are you legally authorized to work in the United States?
Yes No
(Proof of eligibility will be required upon employment)
Have you been convicted of a felony within the last 7 years? Yes No
If yes, please explain:
(A conviction will not necessarily disqualify you from employment.)
_____________________________________________________________________________
Have you ever been employed by us or another Ace Hardware retailer?
Yes No
If yes, when: ___________________________ Where: _______________________________
Do you have any relatives employed by our company?
Yes No
If yes, when: ___________________________ Where: _______________________________
AVAILABILITY
Date you are available to work: ___________________________________________________
Do you wish to work:
Full-Time Part-Time Temporary
If temporary, specify dates available: _______________________________________________
Please indicate hours you are available to work each day:
(example 7am – 9pm)
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Wages desired: $____________ per _______ Hours per week: ________________________
Can you travel if your job requires it?
Yes No
SKILLS & EXPERIENCE
(Check all that apply)
Electrical
Plumbing
Paint Mixing Machine
Building Construction
Key Cutting Machine
Lock Servicing
Blade Sharpening
Screen Repair
Point-of-Sale Terminal / Cashier
Microsoft Word
Microsoft Excel
Intuit Quickbooks
Fluency in Foreign Languages: __________________________________________________
List any other relevant qualifications you have that can be a benefit in this position:
_____________________________________________________________________________
_____________________________________________________________________________