1Personal Information2Employment Desired3Education4References5Employment History Slayden Door and Hardware is an equal opportunity employer. Slayden Door and Hardware seeks and employs qualified persons in all job classifications and positions without discrimination on the basis of a qualified applicant’s race, color, religion, sex, age, disability, national origin, citizenship, veteran status or any other characteristic protected by state or federal law.Personal InformationName(Required) First Last Phone(Required)Your Email(Required) Address(Required) Street Address 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 Are you over the age of 18?(Required) Yes No Are you legally eligible for employment in the U.S.?(Required) Yes No If no, please explain: (A conviction will not automatically disqualify you from the hiring process)Who referred you to us?(Required) Agency Employee Website Other Agency (Name)Employee (Name)Website (Name)Please Specify (Other) Employment DesiredPosition DesiredProject ManagerEstimatorField Installation TechnicianWarehouse AssociateStarting Wage Desired:Date you can start:(Required) MM slash DD slash YYYY Are you currently employed?If so, may we contact your present employer? Yes No Have you ever been employed here before?(Required) Yes No What was your reason for leaving?Do you know or are you related to anyone who works for Slayden Door and Hardware?(Required) Yes No If yes, please identify who and the nature of the relationship.Please upload your resuméAccepted file types: jpg, jpeg, png, pdf, doc, docx, Max. file size: 25 MB. EducationHigh School:(Required)City(Required)State:(Required)Did you graduate/GED?(Required) Yes No College:CityState:Did you graduate college? Yes No Main Course of Study:Degree:Are there any job-related experiences, skills or qualifications that will be of special interest to the job for which you are applying? ReferencesPlease list 2 people, not related to you, who have known you for at least 1 yearReference 1 - Name First Last Address Street Address 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 PhoneBusinessYears Acquainted:Reference 2 - Name First Last Address Street Address City 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 State ZIP Code PhoneBusinessYears Acquainted: Employment HistoryList employment for the past 3 years, starting with present jobCompany Name (current or most recent):Job Title:Street Address:City and State:Supervisor:Dates Employed:From ToTelephone:Reason for Leaving:Specific Job Duties:Company Name (previous employer):Job Title:Street Address:City and State:Supervisor:Dates Employed:From ToTelephone:Reason for Leaving:Specific Job Duties:Company Name (past employer):Job Title:Street Address:City and State:Supervisor:Dates Employed:From ToTelephone:Reason for Leaving:Specific Job Duties:Consent(Required) I agree to the following statements:I certify that all the information provided by me on my employment application is true, correct, complete, and without material omission. I understand that omissions or misrepresentations of any material information provided or requested will be grounds for withdrawal of my application from further consideration for employment, or termination of my employment if the omission or misrepresentation is discovered after hire. I agree that Slayden Door and Hardware shall not be held liable in any respect if a job offer is not extended, is withdrawn or my employment is terminated because of false statements, omissions or answers made by me on this application. I hereby authorize any person, agency, current employer or its agents, former employer or its agents, school, trade school, college, or university to release any and all information and or records pertaining to or otherwise relating to my employment, application for employment, education, or training in the possession, custody, or control of such person, agency, current or former employer, school, trade school, college, or university. Further, I voluntarily and knowingly release any person, agency, current or former employer, school, trade school, college, or university from any and all claims, damages, or liabilities whatsoever for releasing any or all such information in their possession, custody or control to Slayden Door and Hardware, or its agent or agents.Signature(Required) 43845
