SHENANDOAH FURNITURE ONLINE APPLICATION

PERSONAL INFORMATION:
First Name:

Middle Name:

Last Name:

Address:

Address (cont.):

City:

State:

Zip:

Phone 1: (Primary)

Phone 2:

Email:

Are you 18 years of age or older?

EMPLOYMENT DESIRED:
DEPARTMENTS: (CHECK the box if you have any experience in the following departments)
Other:

Shift:
Employment Type:
If Part Time, what days/hours?:
How did you find out about this job?

Available Start Date:

Desired Wage:

Desired Incentive:

GENERAL QUESTIONS: (CHECK the box for YES, or UNCHECK the box for NO)

If so, please state the date, court, and location:

REFERENCES (DO NOT LIST RELATIVES):
REFERENCE 1
Name:

Relationship:

Phone #:

REFERENCE 2
Name:

Relationship:

Phone #:

REFERENCE 3
Name:

Relationship:

Phone #:

EDUCATION:
Select the last grade completed:

Name and Location of the school(s) above:

Please list any degrees, trade schools, skills or special training:

WORK HISTORY (EMPLOYER 1):
Current/Most Recent Employer (Name/Address):

Phone:

Start Date:

End Date:

Starting Rate ($/Hr):

Last Rate ($/Hr):

Starting Incentive ($):

Last Incentive ($):

Immediate Supervisor (Name/Position):

Your Job Title and Responsibilities:

Reason for Leaving:

WORK HISTORY (EMPLOYER 2):
Next Most Recent Employer (Name/Address):

Phone:

Start Date:

End Date:

Starting Rate ($/Hr):

Last Rate ($/Hr):

Starting Incentive ($):

Last Incentive ($):

Immediate Supervisor (Name/Position):

Your Job Title and Responsibilities:

Reason for Leaving:

WORK HISTORY (EMPLOYER 3):
Next Most Recent Employer (Name/Address):

Phone:

Start Date:

End Date:

Starting Rate ($/Hr):

Last Rate ($/Hr):

Starting Incentive ($):

Last Incentive ($):

Immediate Supervisor (Name/Position):

Your Job Title and Responsibilities:

Reason for Leaving:

APPLICANT AGREEMENT:

Read Carefully and sign below...

  • I hereby certify that the information given by me in this application is true in all respects, and I agree that if the information given is found to be false in any way, it shall be considered sufficient cause for denial of employment or discharge.
  • I authorize the use of any information in this application to verify my statements, and I authorize the past employers, all references, and any other persons to answer all questions asked concerning my ability, character, reputation, previous employment record, and credit history.
  • I release all such persons from any liability or damages on account of having furnished such information.
  • I understand that nothing contained in this employment application or in the granting of an interview is intended to create an employment contract between Shenandoah Furniture and myself for either employment or for the providing of any benefit. No promises regarding employment have been made to me, and I understand that no such promise or guarantee is binding upon Shenandoah Furniture unless made in writing.
  • If an employment relationship is established, I understand that I have the right to terminate my employment at any time and that Shenandoah Furniture retains the same right.
  • I understand that if employed, policies and rules which are issued are not conditions of employment and that the employer may revise policies and procedures, in whole or in part, at any time.
  • I understand that this application will be kept on active file for 90 days from the date completed, after which time I would have to reapply in accordance with established company procedures.
  • **ALL APPLICANTS MUST SUCCESSFULLY PASS A PRE-EMPLOYMENT DRUG TEST BEFORE BEING HIRED**
Applicant Signature: (Full Name) [CURRENT DATE: 09/20/2020]