Heights Hardware Application
Applicant Information
First Name
*
Last Name
*
M.I.
*
Date
*
City
*
State
*
Zip
*
Phone
*
Email
*
Available
*
Social Security No.
*
Desired Salary
*
Are you a citizen of the United States
*
Yes
No
If no, are you authorized to work in the U.S.?
Yes
No
Have you ever been convicted of a felony?
*
Yes
No
If yes, explain
Do we have your permission to conduct a background check?
*
Yes
No
Type of work
*
Full-TIme
Part-TIme
Hours per week available
*
Education
High School
*
State
*
From.........To.........
*
Did you graduate?
*
Yes
No
College
From.........To.........
State
Did you graduate?
Yes
No
Degree
Other
References
Full Name
*
Relationship
*
Company
*
Phone
*
Address
*
Position
*
Salary Earned
*
From.........To.........
*
Send Us Your Resume or Cover Letter