Job Application Form

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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
Blade Sharpening
Plumbing
Screen Repair
Paint Mixing Machine
Point-of-Sale Terminal / Cashier
Building Construction
Microsoft Word
Key Cutting Machine
Microsoft Excel
Lock Servicing
Intuit Quickbooks
Fluency in Foreign Languages: __________________________________________________
List any other relevant qualifications you have that can be a benefit in this position:
_____________________________________________________________________________
_____________________________________________________________________________

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