Fillable Printable Ace Hardware Application for Employment Form
Fillable Printable Ace Hardware Application for Employment Form
Ace Hardware Application for Employment Form
APPLICATION
FOR EMPLOYMENT
2411 8/95
AN EQUAL OPPORTUNITY EMPLOYER M/F/V/H
Applicants are considered for all positions without regard to race, color, religion,
sex, national origin, age marital or veteran status, or the presence of a non-job
related medical condition or handicap.
(PLEASE PRINT)
Date of Application _____________________
Position(s) Applied For ____________________________________________________________
Referral Source: Advertisement Friend Relative Walk-In
Employment Agency Other __________________________________
Name ____________________________________________________________________________
Last First Middle
Address __________________________________________________________________________
Number Street City State Zip Code
Telephone ___________________________ Social Security Number ______________________
Area Code
If employed and you are under 18, can you furnish a work permit? Yes No
Have you filed an application here before? Yes No If yes, give date _____________
Have you ever been employed here before? Yes No If yes, give date _____________
Are you employed now? Yes No May we contact your present employer? Yes No
If hired, can you furnish proof you are legally
entitled to work in the United States? Yes No
On what date would you be available to work? ________________________
Are you available to work Full Time Part-Time Shift Work Temporary
Can you travel if a job requires it? Yes No
Have you been convicted of a felony within the last 7 years? Yes No
(Conviction will not necessarily disqualify applicant from employment.)
If Yes, please explain
______________________________________________________________________
( )
EMPLOYMENT EXPERIENCE
Start with your present or last job. Include military service assignments and volunteer activities.
All information should be completed and reasons for any time lapse should be noted.
Employer Telephone
Address
Job Title
Supervisor
Reason for Leaving
Employer Telephone
Address
Job Title
Supervisor
Reason for Leaving
Employer Telephone
Address
Job Title
Supervisor
Reason for Leaving
Employer Telephone
Address
Job Title
Supervisor
Reason for Leaving
Employer Telephone
Address
Job Title
Supervisor
Reason for Leaving
Dates Employed
From To
Hourly Rate/Salary
Starting Final
Dates Employed
From To
Hourly Rate/Salary
Starting Final
Dates Employed
From To
Hourly Rate/Salary
Starting Final
Dates Employed
From To
Hourly Rate/Salary
Starting Final
Dates Employed
From To
Hourly Rate/Salary
Starting Final
WORK PERFORMED
WORK PERFORMED
WORK PERFORMED
WORK PERFORMED
WORK PERFORMED
1
2
3
4
5
2411 8/95 Page 2
If you need additional space, please continue on a separate sheet of paper.
2411 8/95 Page 3
Special Skills and Qualifications
Summarize special skills and qualifications acquired from employment or other experience such as specific
office skills, machines used, etc.
List professional, trade, business or civic activities and offices held.
(You may exclude those which indicate race, color, religion, sex or national origin): ______________________
Give name, address and telephone number of three references who are not related to you and are not
previous employees.
Veteran of the U.S. Military service? Yes No If Yes, Branch ____________________
Applicant’s Statement
I understand this application is considered current for 90 days. If I want to be considered for employment after that time, I must
renew my application in writing.
I certify that answers given herein are true and complete to the best of my knowledge.
I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an
employment decision. I understand that this application is not and is not intended to be a contract of employment. I further
understand said background check may also involve the Company’s obtaining an investigative consumer report on me which may
cover such areas as my character, general reputation and mode of living.
In the event of employment, I understand that false or misleading information given in my application or interview(s) may result
in discharge. I understand, also, that I am required to abide by all rules and regulations of the Company.
Signature of Applicant Date
2411 8/95 Page 4
EDUCATION
Elementary
School Name
Diploma/Degree
Describe
Course of Study
Describe
Specialized
Training,
Apprenticeship,
Skills, and Extra-
Curricular
Activities
Years
Completed (circle)
High
College/University
Graduate/
Professional
4 5 6 7 8
9 10 11 12
1 2 3 4
1 2 3 4
Honors Received:
State any additional information you feel may be helpful to us in considering your application.
For Personnel Department Use Only
Arrange Interview Yes No
Remarks ______________________________________________________________________________
_____________________________________________________ _____________________
Interviewer Date
Job Title _____________________ ___________ Department _____________________
By_____________________________________ _______________
Name and Title Date
Hourly Rate/
Salary
Employed Yes No Date of Employment ___________________
