Employment Application Application Employment application. Step 1 of 4 25% Your Personal InformationYour Name:(Required) First Middle Last Address:(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code How long at current address:(Required) Telephone (day time):(Required)Telephone (evening):(Required)Date of Birth:(Required) MM slash DD slash YYYY Are you over 18 years of age?(Required) Yes No If NO, can you provide proof of your eligibility to work?(Required) Yes No Can you, after employment, submit verification of your legal right to work in the United States?(Required)(Proof of eligibility will be required if hired: (1) Photo ID and (1) Other Acceptable Form) Yes No Position You're Applying ForEmployment Desired: Full-time only Part-time only Full- or Part-time Are you willing to work overtime if asked? Yes No Pay Rate Expected: Position Applied For: When are you available to start work? MM slash DD slash YYYY Do you have a valid driver's license? Yes No Have you ever applied with our organization before? Yes No If yes, state what position and approximate date you applied: How did you hear about us? Newspaper Internet Friend Unemployment Office Other Previous ExperienceSchoolPlease list your experience with school (high school, college, business or trade school, professional school).Type of SchoolName of SchoolLocation (address)# of Years CompletedMajor and Degree Add RemoveHave you ever been convicted of a felony?A conviction record will not necessarily disqualify you from employment. Yes No If yes, explain the nature of offense(s) leading to conviction(s), and how recently such offence(s) was/were commited:Previous Employer #1Company Period of Employment (Month – Year)From: Period of Employment (Month – Year)To: Kind of Business Position Reason For Leaving Pay or Salary Address City Supervisor's Name/Phone # Duties May we contact for reference? Yes No If no, state reason why: Previous Employer #2Company Period of Employment (Month – Year)From: Period of Employment (Month – Year)To: Kind of Business Position Reason For Leaving Pay or Salary Address City Supervisor's Name/Phone # Duties May we contact for reference? Yes No If no, state reason why: Previous Employer #3Company Period of Employment (Month – Year)From: Period of Employment (Month – Year)To: Kind of Business Position Reason For Leaving Pay or Salary Address City Supervisor's Name/Phone # Duties May we contact for reference? Yes No If no, state reason why: Additional Experience of Qualifications:List any other experience, skills, or qualifications, including hobbies and volunteer experience, which you believe qualify you to perform job-related functions in the position you are applying for and should be considered in evaluating your qualifications for employment.Did you serve in the US Armed Forces? Yes No If "Yes" what branch? Are you a Vietnam Vet? Yes No Describe any training received relevant to the position for which you are applying: Please list two additional references other than relatives:NameTitleCompanyAddressPhone Add RemoveUpload Your ResumeUpload your resume in .pdf, .doc or .docx formatAccepted file types: pdf, doc, docx, Max. file size: 25 MB. Applicants Certification and AgreementAs an indication that you have read and understood these statements, please check the boxes in the spaces provided below.Applicants Certification and AgreementI understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for Fences Unlimited and the Stove Shoppe to hire me. If I am hired, I understand that Fences Unlimited and the Stove Shoppe is an “at will” employer. “At will” employment means that both Fences Unlimited and the Stove Shoppe or I have the right to terminate employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of Fences Unlimited and the Stove Shoppe has the authority to make any assurance to the contrary. I attest with my signature below that I have given to Fences Unlimited and the Stove Shoppe true and complete information on this application. No requested information has been concealed. I understand that any misrepresentations in this application or any attachment, or any omission of material facts is grounds for denial of employment or immediate dismissal of not discovered by Fences Unlimited and the Stove Shoppe until after my becoming employed. I hereby give Fences Unlimited and the Stove Shoppe permission to contact schools, all previous employers (unless otherwise indicated), references and others, and hereby release Fences Unlimited an the Stove Shoppe from any liability as a result of such contact. Further, I release the above mentioned references from any and all liability for any damages that may result from information collected by Fences Unlimited an the Stove Shoppe. I agree to the above statements.Fences Unlimited and the Stove Shoppe is committed to a policy of equal employment opportunity, and does not discriminate in the terms and conditions of employment because of race, age, sex/gender, religion, color, national origin, creed, sexual orientation, veteran status, pregnancy, citizenship status, physical or mental disability, genetic information and any other factor protected by law. This application is valid for 60 days. If you have not been offered employment within 60 days for your application, it will be necessary for you to submit another application.CAPTCHANameThis field is for validation purposes and should be left unchanged.