APPLICATION FOR EMPLOYMENT

Discount Builders Supply & Hardware is an equal opportunity employer and does not discriminate in hiring or terms and conditions
of employment in any manner as prescribed by law.

Applicant Name:

Date:

Position applied for or type of work desired:

Address:

Telephone Number:

Social Security Number:

Type of Employment Desired:

Full Time

Part Time

Temporary

Date you will be available to start work:

Have you ever been Previously employed by our organization?

Yes

If you are under 18, can you furnish a work permit if it is required?

Yes

How were you referred to us?

Employment History

Please Provide all employment Information for your past four Employer starting with the most recent.

Employer:

Position Held:

Address:

Telephone Number:

Immediate supervisor and title:

Date Employed:

Job Summary:

Reason for leaving:

Employer:

Position Held:

Address:

Telephone Number:

Immediate supervisor and title:

Date Employed:

Job Summary:

Reason for leaving:

Employer:

Position Held:

Address:

Telephone Number:

Immediate supervisor and title:

Date Employed:

Job Summary:

Reason for leaving:

Employer:

Position Held:

Address:

Telephone Number:

Immediate supervisor and title:

Date Employed:

Job Summary:

Reason for leaving:

Add History

Other Skills and Qualifications

Summarize any job related training, skills, licenses, certificates, and/or other Qualifications:

Educational History

List school name and location, year completed, course of study, and any degrees earned:

High School:

College:

Technical Training:

Other:

References

List 3 references names, telephone numbers, and years known (do not include relatives or employers):

I accept all Terms & Conditions

Career

APPLICATION FOR EMPLOYMENT

Employment History

Other Skills and Qualifications

Educational History

References