Application for Employment

Dunn Hardware is an Equal Opportunity Educational Institution and EEO/Affirmative Action Employer committed to excellence through diversity. Employment offers are made on the basis of qualifications, and without regard to race, sex, religion, national or ethnic origin, disability, age, veteran status, or sexual orientation.

Complete the entire application. You may attach a resume, but you must still complete all questions; or your application will be deemed incomplete and may not be considered. Please fill out each box (don't just indicate “See Resume.”) Applications with missing or invalid job numbers will not be considered for any position.

Position Applying For: Name (Last, First, Middle):

Street Address: City, State & Zip:

Email: Phone:

Other names under which you have attended school or been employed:

Are you eligible to work in the United States?
YesNo

Are you 18 years of age or older?
YesNoIf NO, what is your current age?

Are you currently employed?
YesNo

Have you ever been employed by Dunn?
YesNoIf YES, dates of employment & reason for leaving:

Are you related to any current Dunn employee?
YesNoIf YES, their name & their relationship to you?

If required for position, do you have a valid driver's license?
YesNoIf YES, State of issuance, license #, and expiration date:

How did you learn about this employment opportunity? Check all that apply.
Job Bulletin (Posting)/Walk-inWebsiteDept. of LaborAd in newspaperAd in magazineReferral by employeeOther:

EDUCATION

Name of School	City/State	Did you graduate?	If No, # of years left to graduate	If Yes, date of Graduation	Degree received	Major
		YesNo
		YesNo
		YesNo
		YesNo
		YesNo
		YesNo
Other credentials/licenses/professional affiliations, etc., which are relevant to the job(s) for which you are applying.

Skills

Please list technical skills, clerical skills, trade skills, etc., relevant to this position. Include relevant computer systems and software packages of which you have a working knowledge, and note your level of proficiency (basic, intermediate, expert)

Work Experience

Please detail your entire work history. Begin with your current or most recent employer. If you held multiple positions with the same organization, detail each position separately. Attach additional sheets if necessary. Omission of prior employment may be considered falsification of information. Please explain any gaps in employment. Include full-time military or volunteer commitments. PLEASE DO NOT complete this information with the notation “See Resume.”
PLEASE NOTE: Dunn Hardware reserves the right to contact all current and former employers for reference information.

Dates Employed (most recent position)
From: To: Full timePart-time
If part-time, # hrs./wk:
Title:

Starting Salary: Final Salary:

Organization Name and Address:

Supervisor's Name, Title and Phone #: Other Reference Name, Title and Phone #: Contact my current references:
At any timeOnly if I am a finalist candidate

Primary Duties: Reason for Leaving:

Dates Employed (most recent position)
From: To: Full timePart-time
If part-time, # hrs./wk:
Title:

Starting Salary: Final Salary:

Organization Name and Address:

Supervisor's Name, Title and Phone #: Other Reference Name, Title and Phone #: Contact my current references:
At any timeOnly if I am a finalist candidate

Primary Duties: Reason for Leaving:

PLEASE READ CAREFULLY AND SIGN THAT YOU UNDERSTAND AND ACCEPT THIS INFORMATION.

I certify that the information on this application and its supporting documents is accurate and complete. I understand and agree that failure to fully complete the form, or misrepresentation or omission of facts, represents grounds for elimination from consideration for employment, or termination after employment if discovered at a later date. I authorize Dunn Hardware to investigate, without liability, all statements contained in this application and supporting materials. I authorize references and former employers, without liability, to make full response to any inquiries in connection with this application for employment. If requested, I agree to submit to a physical exam, criminal and credit background investigation, and/or screening for illegal substances upon conditional offer of employment. I understand that this document is NOT an offer of employment, and that an offer of employment, if tendered, does NOT constitute a contract for continued guaranteed employment. I understand that staff employees of Dunn Hardware are at-will, and the employment relationship may be terminated at any time by either party, or any or no reason, other than a reason prohibited by law.

Applicant Signature: Date: