Application for Employment Fitzwater Furniture is an equal opportunity employer and does not discriminate against otherwise qualified applicants on the basis of race, color, creed, religion, ancestry, age, sex, marital status, national origin, disability or handicap, or veteran status. Today's Date* Date Format: MM slash DD slash YYYY This application for employment is good for 30 days only. Consideration for employment after 30 days requires a new application. PERSONALName* First Middle Last Address* Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Phone*Email* Enter Email Confirm Email Position Sought*Availability*Full TimePart 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. EDUCATIONPlease indicate education or training which you believe qualifies you for the position you are seeking.High SchoolNumber of years completed:1234EducationHigh School DiplomaG.E.D.Click the plus symbol to add additional schools.SchoolCity/State College and/or Vocational SchoolNumber of years completed:1234Click the plus symbol to add additional schools.SchoolCity/StateMajorDegrees Earned Other Training or DegreesClick the plus symbol to add additional schools.SchoolCity/StateCourseDegrees or Certificate Earned PROFESSIONAL LICENSE OR MEMBERSHIPClick the plus symbol to add additional licenses.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. EMPLOYMENTList 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: Date Format: MM slash DD slash YYYY May we contact your present employer? Yes If any employment was under a different name, please indicate that name here:Employment HistoryClick the plus symbol to add additional employment history.EmployerPositionDatesSupervisorDutiesHoursReason for leaving? Explain any gaps in work historyHave you ever been discharged or asked to resign from a job? Yes No If yes, please explain:* REFERENCESClick the plus symbol to add additional references.Professional*Click the plus symbol to add additional references.NameAddressPhone Personal*Click the plus symbol to add additional references.NameAddressPhone Have a résumé? Attach it here.Please attach a PDF document only.Accepted file types: pdf. APPLICANT'S CERTIFICATION & AGREEMENTI 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*PhoneThis field is for validation purposes and should be left unchanged. Save and Continue Later This iframe contains the logic required to handle Ajax powered Gravity Forms.