JC's Hardware: Employment Application Form

JC's Hardware: Employment Application

Fill the form below accurately indicating your potentials and suitability to job applying for.
Name:*

First NameMiddle NameLast Name
Phone Number:*

Area CodePhone Number
Mobile Number:

Area CodePhone Number
E-mail Address:
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
How were you referred to us?*

Walk-InEmployeeNewspaper AdFacebookWebsiteOther (please specify)
Others:
Have you ever worked for the JC's Hardware before?*
If "Yes" (When):
Are you 18 years or older?*
Are you 21 years or older?*
Do you have dependable transportation?
Job Skills & Training
Full time or Part time Employment?*
Additional Training or Certifications:
Describe your skills:
If hired can you submit proof of US citizenship?*
If "No" please explain:
Work Experience

Please list most current first:
Employment (1)
Employer Name:
City and State:
Position held:
Start date:
End date:
List duties and responsibilities:
Reason for leaving:
Employment (2)
Employer Name:
City and State:
Position held:
Start date:
End date:
List duties and responsibilities:
Reason for leaving:
References

Please list two (2) references that are familiar with your work life.
Reference (1)
Name:*

First NameLast Name
Phone Number*

Area CodePhone Number
Years Known:*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Reference (2)
Name:*

First NameLast Name
Phone Number*

Area CodePhone Number
Years Known:*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Please enter the following to submit:*
Should be Empty:

JC's Hardware: Employment Application

Job Skills & Training

Work Experience

Employment (1)

Employment (2)

References

Reference (1)

Reference (2)