Sunlight Supply Interactive Employment Application
Hawthornegardening-Interactive-Employment-Application HawthorneGardening-Interactive-Employment-Application HawthorneGardening-Interactive-Employment-Application s sunlightsupply 3:
2015-05-11
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Corporate Offices Fruit Valley Woodland Samoa Livermore Ontario 6485 Brisa Street Livermore, CA 94550 1051 S. Rockefeller Ave., CA Commerce Center #2, Ontario, CA 91761 Detroit York 5408 NE 88th St. Bldg. A, Vancouver, WA 98665 4525 NW Fruit Valley Rd. Vancouver, WA 98660 1900 Bendixsen St., Bldg 1 Samoa, CA 95564 Denver 3550 B Odessa Way Aurora, CO 80011 APPLICATION FOR EMPLOYMENT 30811 Century Drive Wixom, MI 48393 Nashville 450 Grim Lane York, PA 17406 Pompano 126 Belinda Parkway Mt. Juliet, TN 37122 455 S. Andrews Ave. Pompano Beach, FL 33069 PERSONAL INFORMATION Position Applying For: Name (Last) 1560 Downriver Drive Woodland, WA 98674 Salary Desired: (First) (Middle) Are you employed now? Address Home Telephone City, State, Zip Code Alternate Telephone (please list cell or friend) Name of relative working for Sunlight Supply Relationship Have you ever worked for Sunlight Supply? Where? Valid Current Driver’s License? When? o Yes o No Supervisor CDL License? o Yes o No License No: ____________________________ State: ______________ Class:______________ Has your Driver’s License ever been suspended or revoked? o Yes o No If yes please explain:__________________________________________________________________________ Have you ever been convicted, pled no contest, had adjudication withheld, or had prosecution deferred on any misdemeanor, felony, or DUI, or do you have any of these charges pending against you or are you currently enrolled in a pre-trial intervention program? o Yes o No If yes, please explain fully:_____________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ Note: a conviction does not necessarily prevent your application from consideration. The nature, year of your conviction, number of convictions, and the job for which you are applying are all taken into consideration. Regardless of how you answer this question, all background checks will be performed. OFFICE USE ONLY Interviewed o Yes o No Page 1 Date Interviewed _____________ SLS Interactive Employment Application - Last Updated 05072015 EDUCATION AND SPECIAL TRAINING Circle highest school grade completed: 1 High school diploma or GED: o Yes o No 2 3 4 5 6 7 8 9 10 11 12 Name and address (city and state) of last high school attended: _________________________________________ _____________________________________________________________________________________________ LIST SPECIAL TRAINING (BUSINESS, TRADE, VOCATIONAL, ARMED FORCES SCHOOLS, ETC.) BELOW: Dates Attended Name and location of vocationTotal From To al school training center, instiMonths tute, etc. Mo. Yr Mo. Yr Completed Courses or subjects taken. Certificates given or other pertinent information LIST COLLEGES AND UNIVERSITIES ATTENDED BELOW: Dates Attended Total From To Name and location of college or Months university. Mo. Yr Mo. Yr Completed Grade Point Major/minor field or Average program of study Type of degree awarded EMPLOYMENT RECORD List the past 4 previous employers. Major changes in duties or job titles with the same employer should be listed as separate jobs. Start with the present or most recent and work back. Use blank sheets if necessary. LEAVE NO GAPS AND BE SPECIFIC IN YOUR ANSWERS. Have you ever been terminated or asked to resign from any job? If yes, please explain: _______________________________________________________________________ ___________________________________________________________________________________________ _______________________________________________________________________________________ Present or Most Recent Job. Employer: ____________________________________________________ Address, City, State: __________________________________________________________________________ Telephone: ______________________ Supervisor: ________________________________________________ From: (month/yr) ______________ To: (month/yr) _______________ Job Title: ______________________ Hours per Week: ______ Starting Salary $ ________ Per ________ Last Salary $ ________ Per ________ Reason for Leaving: _________________________________________________________________________ Duties: ____________________________________________________________________________________ __________________________________________________________________________________________ May we contact this employer for a work reference? o Yes o No If no, please explain:________________ _________________________________________________________________________________________ Page 2 SLS Interactive Employment Application - Last Updated 05072015 EMPLOYMENT RECORD continued: Present or Most Recent Job. Employer: ____________________________________________________ Address, City, State: __________________________________________________________________________ Telephone: ______________________ Supervisor: ________________________________________________ From: (month/yr) ______________ To: (month/yr) _______________ Job Title: ______________________ Hours per Week: ______ Starting Salary $ ________ Per ________ Last Salary $ ________ Per ________ Reason for Leaving: _________________________________________________________________________ Duties: ____________________________________________________________________________________ __________________________________________________________________________________________ May we contact this employer for a work reference? o Yes o No If no, please explain:________________ _________________________________________________________________________________________ Present or Most Recent Job. Employer: ____________________________________________________ Address, City, State: __________________________________________________________________________ Telephone: ______________________ Supervisor: ________________________________________________ From: (month/yr) ______________ To: (month/yr) _______________ Job Title: ______________________ Hours per Week: ______ Starting Salary $ ________ Per ________ Last Salary $ ________ Per ________ Reason for Leaving: _________________________________________________________________________ Duties: ____________________________________________________________________________________ __________________________________________________________________________________________ May we contact this employer for a work reference? o Yes o No If no, please explain:________________ _________________________________________________________________________________________ Present or Most Recent Job. Employer: ____________________________________________________ Address, City, State: __________________________________________________________________________ Telephone: ______________________ Supervisor: ________________________________________________ From: (month/yr) ______________ To: (month/yr) _______________ Job Title: ______________________ Hours per Week: ______ Starting Salary $ ________ Per ________ Last Salary $ ________ Per ________ Reason for Leaving: _________________________________________________________________________ Duties: ____________________________________________________________________________________ __________________________________________________________________________________________ May we contact this employer for a work reference? o Yes o No If no, please explain:________________ _________________________________________________________________________________________ Page 3 SLS Interactive Employment Application - Last Updated 05072015 REFERENCES List below the names of three persons not related to you, whom you have known at least one year. Name Address Telephone Years Known AUTHORIZATION “I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed and all information concerning my previous employment and release the company from all liability for any damage that may result from utilization of such information. I understand that all information on this application is subject to verification and I consent to criminal history background checks upon hire and at will thereafter while employed. This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws.” I understand as a condition of employment I will be required to sign a non-compete and confidentiality agreement. Date _______________________ STOP - See Note Below Signature _______________________________________________________ Interviewed by_____________________________________________________ Date _______________________ Checking this box will serve as your electronic signature and your agreement to the statement above. If you are hired, we will obtain your physical signature on this application during your new hire orientation. Date: DO NOT WRITE BELOW THIS LINE REMARKS ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ Location Start Date Supervisor For Dept Salary Wages Position Page 4 SLS Interactive Employment Application - Last Updated 05072015
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