Hordville Shop Employment Application Form

Name

First

Last

Address

Phone Number

Birth Date

Are you a US citizen?

Have you applied with us previously?

If hired, what date can you start?

What is your highest level of school achieved and what degrees or certifications do you have?

List any relevant skills

List any relevant other certifications or qualifications

previously? any #1

Name of Current Employer or NONE if not Employed

Current position

Current Salary

Reason for Leaving

Start date of current position

May we contact your current employer?

Reference #1

Relationship with Reference #1

Phone Number for Reference #1

Reference #2

Relationship with Reference #2

Phone Number for Reference #2

Check if you agree

By checking the box above, I certify that all of the information provided by me on this application is true and complete, and I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employment may be terminated at any time. In consideration of my employment, I agree to conform to the company’s rules and regulations, and I agree that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company’s option. I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by the company.