EmailMe Form - Southern Shutter Company Employment Application

Date Time

MM / DD / YYYY

What date are you available to start work? *

MM / DD / YYYY

POSITION/AVAILABILITY:

Position Applied For: *

(You will be considered for only this position.)

NOTE: This application will expire 30 days after today's date. If after that time you wish to be considered for a position, you must submit a new application.

Days Available *

Hours Available *

AM

PM

For specific Day/Hour availability, please enter information below.

Personal Information

Name *

First Last

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country

Email

Home Telephone Number *

### - ### - ####

Mobile Telephone Number

### - ### - ####

Work Telephone Number

### - ### - ####

Are you 18 years or older? *

Yes

No

Under the Immigration Reform and Control Act of 1986. Southern Shutter Company is required to very employment eligibilty.
If employed, can you provide employment elgibility documents? *

Yes

No

NOTE: Southern Shutter Company does not discriminate on the basis of citizenship or national origin.

NOTE: In completing this application for employment you may exclude information that indicates race, color, religion, sex, age, national origin, disability, or marital status.

Southern Shutter Company is a "DRUG FREE" WORK PLACE - PRE-EMLOYMENT DRUG TESTING IS REQUIRED.

EDUCATION:

Name and Address Of School - Degree/Diploma - Graduation Date *

Skills and Qualifications: Licenses, Skills, Training, Awards *

WORK HISTORY:

Please provide a complete employment history, listing all positions held, including military, part-time, summer, and volunteer work.

Employer's Name: *

Address: *

Telephone Number: *

### - ### - ####

Start Date *

MM / DD / YYYY

End Date *

MM / DD / YYYY

Salary *

Input hourly wage, if not salaried.

Average hours per week *

Name and Title of Supervisor: *

Number of employees you supervised

Position Title: *

Duties and Responsibilities: *

Reason for Leaving: *

Former Positions:

Employer's Name:

Email:

Address:

Telephone Number:

### - ### - ####

Start Date

MM / DD / YYYY

End Date

MM / DD / YYYY

Salary

Input hourly wage, if not salaried.

Average hours per week:

Name and Title of Supervisor:

Number of employees you supervised:

Job titles and Duties:

Reason for Leaving:

Former Positions:

Employer's Name:

Address:

Telephone Number:

### - ### - ####

Start Date

MM / DD / YYYY

End Date

MM / DD / YYYY

Salary

Input hourly wage, if not salaried.

Average hours per week:

Name and Title of Supervisor:

Number of employees you supervised:

Job titles and Duties:

Reason for Leaving:

May We Contact Your Present Employer? *

Yes

No

References:
Name/Title Address Phone *

General Information
Have you ever plead guilty to or been convicted of a crime (exclude minor traffic voilations for which a fine or forgieture of $50.00 or less was imposed)?

Yes

No

If yes, please explain and give in each case the date, nature of the offense, the name and location of the court, the penalty imposed if any, and the disposition of the case. A plea of guilty or a conviction seriousness and nature of the violation, and rehabilitation will be taken into account.

Are you able to perform the duties of the job for which you are applying?

Yes

No

If "No", please indicate the specific duties you cannot perform:

Have you ever been an employee of Southern Shutter Comany?

*

Yes

No

If yes, Please list below:

Department:

Supervisor's Name:

Position:

Start Date:

MM / DD / YYYY

End Date:

MM / DD / YYYY

Reason for Leaving:

Pleae list any additional information that you think we should consider in evaluating your application for employment:

Southern Shutter Company

Equal Employment Policy

Southern Shutter Company is an EQUAL OPPORTUNITY EMPLOYER. It is the policy of Southern Shutter Company to treat all applicant and employees fairly in accordance with ther individual qualifications, ability, experience, and other employment standards and in compliance with all applicable employment laws. Southern Shutter Company does not discriminate on the basis of race, color, religion, national origin, sex, age or disability. Additionally, Southern Shutter Company does not descriminate on the basis of other protected classifications as defined by federal, state or local laws.

Harassment on the basis of race, color, religion, national origin, sex , age or disability is a form of discrimination. Such harassment is a voilation of our EQUAL EMPLOYMENT POLICY, is prohibited, and will not be tolerated.

Retaliation against anyone reporting such harassment is also prohibited. Employees are encouraged to report voilations of this policy to their supervisor or to members of management.

Any voilation of this policy will be grounds for disciplinary action, up and to including discharge.

I certify that I have read this form in its entirety and that the information I have provided is true, accurate, and complete to the best of my knowledge. I understand that, should any statement I have made prove to be false, misleading, or erroneous, it may result in the rejection of my application or in my discharge if I am employed regardless of when the false, misleading, or erroneous information is discovered.

I further understand and agree that this application is not a contract for employment, and that any individual hired by Southern Shutter Company may voluntarily leave his or her employment or may be terminated by Southern Shutter Company at any time for any reason. I understand that, other than a written agreement signed by the President of Southern Shutter Company, any oral or written statements to the contrary are not valid, are expressly disallowed , and should not be relied uplon by any prospecitve or existing employee.

Do you agree with the terms and conditions? *

Yes, I agree.

Initial *

Date *

MM / DD / YYYY

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