APPLICATION FOR EMPLOYMENT

AN EQUAL OPPORTUNITY EMPLOYER

Fields marked with * are mandatory

POSITION DESIRED

DATE AVAILABLE

TODAYS DATE:

FIRST NAME

MIDDLE NAME

LAST NAME

ADDRESS

CITY

STATE

ZIP CODE

E-MAIL ADDRESS:

PHONE NUMBER:

DO YOU WISH TO WORK:

Full TimePart TimeSeasonal

Please indicate hours you are available to work:

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

SATURDAY

SUNDAY

EDUCATION

NAME AND LOCATION OF SCHOOL

NO. OF YEARS ATTENDED

MAJOR COURSE(S)

GRADUATED OR DEGREEYESNO

NAME AND LOCATION OF SCHOOL

NO. OF YEARS ATTENDED

MAJOR COURSE(S)

GRADUATED OR DEGREE

NAME AND LOCATION OF SCHOOL

NO. OF YEARS ATTENDED

MAJOR COURSE(S)

GRADUATED OR DEGREE

NAME AND LOCATION OF SCHOOL

NO. OF YEARS ATTENDED

MAJOR COURSE(S)

GRADUATED OR DEGREE

EMPLOYMENT HISTORY

Give Names and Addresses of All Previous Employers. If you are now working, present employer and reason for desire to quit must be included. Additional paper will be provided upon request. Also give reason for any lapse of time between jobs. MAY WE CONTACT YOUR CURRENT EMPLOYER?:

YESNO

EMPLOYER(Latest First)

NAME:

ADDRESS/CITY/STATE/ZIP:

TELEPHONE:

SUPERVISOR:

DATES EMPLOYED

FROM:

TO:

EARNINGS HISTORY

START

FINAL

TITLES AND DUTIES:

REASON FOR LEAVING:

NAME:

ADDRESS/CITY/STATE/ZIP:

TELEPHONE:

SUPERVISOR:

DATES EMPLOYED

FROM:

TO:

EARNINGS HISTORY

START

FINAL

TITLES AND DUTIES:

REASON FOR LEAVING:

NAME:

ADDRESS/CITY/STATE/ZIP:

TELEPHONE:

SUPERVISOR:

DATES EMPLOYED

FROM:

TO:

EARNINGS HISTORY

START

FINAL

TITLES AND DUTIES:

REASON FOR LEAVING:

NAME:

ADDRESS/CITY/STATE/ZIP:

TELEPHONE:

SUPERVISOR:

DATES EMPLOYED

FROM:

TO:

EARNINGS HISTORY

START

FINAL

TITLES AND DUTIES:

REASON FOR LEAVING:

MILITARY SERVICE

FINAL RANK/GRADE

BRANCH

SPECIALTY/MOS

RESERVE STATUS

Have you ever been employed by our Company?

YESNO

IF YES, WHEN

WHERE

Do you have any relatives employed by our Company?

YESNO

If yes, please state person’s name, job and employment location

PLEASE READ THE FOLLOWING CAREFULLY BEFORE SIGNING BELOW:

This application is considered current for 90 days. If you want to be considered for employment after this time you must renew your application in writing.

I certify that the information contained in this application and/or any supplement thereto, is correct to the best of my knowledge and understand that any mis-statement or omission of information is grounds for dismissal in accordance with Company Policy. I authorize Ace Hardware to contact my current or prior employers and/or the above references and request any information concerning my previous employment and any pertinent information they may have, personal or otherwise, and I expressly release Ace Hardware and all parties providing such information from any and all liability or responsibility for damage that may result from furnishing the same to you. If I am offered a position with the Company, I agree to conform to the applicable rules, regulations and policies of the Company, and acknowledge that my employment and compensation can be terminated at any time with or without cause, and with or without notice, at the option of either the Company or myself. I further understand that no representative of the Company has any authority to make any agreement contrary to the foregoing or to bind the Company for the employment of any person for any specified period of time.

APPLICATION FOR EMPLOYMENT

AN EQUAL OPPORTUNITY EMPLOYER

EDUCATION

SKILLS

EMPLOYMENT HISTORY

EMPLOYER(Latest First)

MILITARY SERVICE

GENERAL INFORMATION

PLEASE READ THE FOLLOWING CAREFULLY BEFORE SIGNING BELOW:

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