Last name

First name

Middle name

Home phone #

Other phone #

Home address

How long have you lived at your present home address?

Identify any previous home addresses during the last 5 years, and the dates you lived there

Type of work desired

Wage Expected

Date available to start

Days and hours available to work

Are you at least 18 years old?YesNo

If hired, can you verify that you are authorized to work in the United States?YesNo

Based on the job description, do you believe that you can perform the essential functions of the job with or without reasonable accommodation?YesNo

Are you willing to be tested for illegal drug use if EL Centro ACE HArdware offers you a job?YesNo

If you are offered a job, after the offer and before your employment begins, EL Centro ACE Hardware will perform a comprehensive background check which will cover criminal convictions (a conviction will not necessarily preclude you from being employed and more information about exlcuded offenses will be provided at that time), civil filings (i.e. lawsuits), credit check (if applicable to the position), social media check (if applicable to the position) and DMV check (if applicable to the position).

EDUCATION

High School

College/ University

Vocational/ Business

EMPLOYMENT HISTORY

Answer regarding your current and most recent jobs

Did you work for any of these employers under a different name?YesNo

Employer

Name you worked under

Can EL Centro ACE Hardware contact your current employer?YesNo

Have you ever applied for a job at EL Centro ACE Hardware?YesNo

When

Location

Have you ever worked for EL Centro ACE Hardware?YesNo

When

Position

Location

Do you have any relatives or friends working for EL Centro ACE Hardware?YesNo

Name

Relationship

Location

Name

Relationship

Location

What languages can you speak other than English?

Do you have any other experience, training, qualifications or skills which make you feel especially suited for work at EL Centro ACE Hardware? If so, please explain

Please provide your email

APPLICANT’S CERTIFICATION AND AGREEMENT – PLEASE READ CAREFULLY

I hereby certify that all of the information provided in this Application for Employment form is true and correct to the best of my knowledge. I understand that my statements will be relied upon by El Centro ACE Hardware, in considering me for employment. I agree to have all of my statements checked by EL Centro ACE Hardware unless I have indicated to the contrary. I authorize the other employers listed above to provide EL Centro ACE Hardware any and all information concerning my employment and any other pertinent information that they may have. Further, I release all parties and persons from any and all liability for any damages that may result from furnishing such information to EL Centro ACE Hardware as well as from the use or disclosure of such information by EL Centro ACE Hardware or any of its agents, employees, or representatives. I understand that any misrepresentation, falsification, or material omission of information on this application may result in my failure to receive an offer or, if I am hired, my dismissal from employment.

I understand that EL Centro ACE Hardware has the right to search anything on its premises, including computers (including emails, social media and internet usage) desks, lockers, handbags, briefcases and automobiles.

I understand and agree that if I am hired, my employment with EL Centro ACE Hardware will be at-will, which means that EL Centro ACE Hardware can modify or terminate my employment relationship at any time, for any reason or no reason, and with or without notice.

I understand and agree that if I am hired, EL Centro ACE Hardware, in its sole and absolute discretion, may at any time change its policies as well as my duties, position, hours, compensation and working conditions. However, I understand that the at-will policy cannot be modified except in a written agreement signed by the President of EL Centro ACE Hardware expressly stating that the policy is being modified.