Jobs - Fitzwater Furniture

Today's Date*

This application for employment is good for 30 days only. Consideration for employment after 30 days requires a new application.

PERSONAL

Name*

First Middle Last

Address*

Street Address City State ZIP Code

Phone*

Email*

Enter Email Confirm Email

Position Sought*

Availability*

Full Time
Part Time

I am over 18 years old.
I am legally eligible for employment in the United States.

If offered employment, you will be required to provide documentation to verify eligibility.

EDUCATION

Please indicate education or training which you believe qualifies you for the position you are seeking.

High School

Number of years completed:

1
2
3
4

Education

High School Diploma
G.E.D.

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School	City/State

College and/or Vocational School

Number of years completed:

1
2
3
4

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School	City/State	Major	Degrees Earned

Other Training or Degrees

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School	City/State	Course	Degrees or Certificate Earned

PROFESSIONAL LICENSE OR MEMBERSHIP

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Type of License(s) Held:

Other Professional Memberships

You need not disclose membership in professional organizations that may reveal information regarding race, color, creed, sex, religion, national origin, ancestry, age, disability, marital status, veteran status or any other protected status.

EMPLOYMENT

List most recent employer first, including any U.S. Military Service.

Have you ever been employed by Fitzwater Furniture?

Yes

If yes, please note the last date of employment:

May we contact your present employer?

Yes

If any employment was under a different name, please indicate that name here:

Employment History

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Employer	Position	Dates	Supervisor	Duties	Hours	Reason for leaving?

Explain any gaps in work history

Have you ever been discharged or asked to resign from a job?

Yes
No

If yes, please explain:*

REFERENCES

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Professional*

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Name	Address	Phone

Personal*

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Name	Address	Phone

Have a résumé? Attach it here.

Please attach a PDF document only.

Accepted file types: pdf, Max. file size: 5 MB.

APPLICANT'S CERTIFICATION & AGREEMENT

I hereby certify that the facts set forth in the above employment application are true and complete to the best of my knowledge and authorize Fitzwater Furniture to verify their accuracy and to obtain reference information on my work performance. I hereby release Fitzwater Furniture from any/all liability of whatever kind and nature which, at any time, could result from obtaining and having an employment decision based on such information.

I understand that, if employed, falsified statements of any kind or omissions of facts called for on this application shall be considered sufficient basis for dismissal.

I understand that should an employment offer be extended to me and accepted that I will fully adhere to the policies, rules and regulations of employment of the Employer. However, I further understand that neither the policies, rules, regulations of employment or anything said during the interview process shall be deemed to constitute the terms of an implied employment contract. I understand that any employment offered is for an indefinite duration and at will and that either I or the Employer may terminate my employment at any time with or without notice or cause.

Signature*

Comments

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Application for Employment

PERSONAL

EDUCATION

High School

College and/or Vocational School

PROFESSIONAL LICENSE OR MEMBERSHIP

EMPLOYMENT

REFERENCES

APPLICANT'S CERTIFICATION & AGREEMENT