Employment Application Position Applied For*---CashierSales AssociateTeam LeaderDepartment HeadInventory Control SpecialistHead CashierAssistant ManagerSeasonal PositionHome and Gift Dept HeadNursery AssociateStore Location (select one or more) Chattanooga Hwy 58 Dallas Bay Brainerd Dayton Blvd East Ridge Cleveland Ooltewah Walden East Brainerd South Side Knoxville Bearden Dixie Lee Halls Rocky Hill South Knoxville Townsend Hardin Valley Elder's Mercantile North Georgia Rome Lafayette Ringgold Chickamauga Trenton Shift* Fulltime Part-time Date of Application (Ex. 01/01/2017)* Date Format: MM slash DD slash YYYY Full Name* First Middle Last Address* Street Address City State / Province / Region ZIP / Postal Code Phone*Email* Are you under the age of 18?*YesNoPay desiredAre you currently employed?*YesNoDate available for work* Date Format: MM slash DD slash YYYY Have you applied to Ace Hardware before?*YesNoWhereWhenHave you been charged with a crime involving dishonesty or theft in the last seven (7) years:*YesNo(Such charge may be relevant if job related, but does not bar you from employment.)Please ExplainHow did you hear about us?---AdFriend / family memberSocial MediaWalk-inOtherOther (please specify):FORMER EMPLOYERS: List your last four (4) employers, assignments or volunteer activities starting with the most recent, including military experience. Previous Employer 1Your Job TitleFrom Date Format: MM slash DD slash YYYY To Date Format: MM slash DD slash YYYY EmpoyerTelephoneImmediate Supervisor & TitleAddressSummarize the nature of work performed and job responsibilitiesReason for leavingHourly Rate/SalaryStart $perFinal $perPrevious Employer 2Your Job TitleFrom Date Format: MM slash DD slash YYYY To Date Format: MM slash DD slash YYYY EmpoyerTelephoneImmediate Supervisor & TitleAddressSummarize the nature of work performed and job responsibilitiesReason for leavingHourly Rate/SalaryStart $perFinal $perPrevious Employer 3Your Job TitleFrom Date Format: MM slash DD slash YYYY To Date Format: MM slash DD slash YYYY EmpoyerTelephoneImmediate Supervisor & TitleAddressSummarize the nature of work performed and job responsibilitiesReason for leavingHourly Rate/SalaryStart $perFinal $perPrevious Employer 4Your Job TitleFrom Date Format: MM slash DD slash YYYY To Date Format: MM slash DD slash YYYY EmpoyerTelephoneAddressImmediate Supervisor & TitleSummarize the nature of work performed and job responsibilitiesReason for leavingHourly Rate/SalaryStart $perFinal $perAN EQUAL OPPORTUNITY EMPLOYER Skills and QualificationsSummarize special skills and qualifications acquired from employment or other experiences that may qualify you for work with our company*Educational BackgroundName and locationYears completedDid you graduate?Course of Study List below three (3) persons you have known at least a year that you are not related to:*NameTelephoneYears Known PLEASE READ THE FOLLOWING: If you are to be hired by Ace Hardware you will be required to attest to your identity and employment eligibility, and to present documents confirming your identity and your employment eligibility. You cannot be hired if you cannot comply with these requirements. AUTHORIZATION: I certify that the facts contained in this application (and any accompanying documentation) are true and complete to the best of my knowledge. I understand that any false statement, omission, or misrepresentation on this application is sufficient cause for refusal to hire or dismissal if I have been employed regardless of when discovered by the company here in known as Ace Hardware. I understand that any employment is conditioned on a background check. I authorize Ace Hardware to thoroughly investigate all statements contained within these documents and I authorize my former employee and references to disclose information regarding my former employment, character, and general reputation to the company, without giving me prior notice of such disclosure. In addition, I release to Ace Hardware any former employers and all references listed above from any and all claims, demands or liabilities arising out of or related to such investigation or disclosure. I understand and agree that nothing contained in this application or conveyed during this or any subsequent interview, is intended to create an employment contract. I further understand and agree that if I am hired, my employment will be “at will” and without fixed term, and may be terminated at any time, with or without cause and without prior notice, at the option of either Ace Hardware or myself. No promises regarding employment have been made to me and I understand that no such promise or guarantee is binding upon Ace Hardware unless made to me in writing. If I am offered employment, I agree to submit to a medical examination and drug test before starting work. If employed, I also agree to submit to a medical examination and/or drug test at any time deemed appropriate by Ace Hardware and as permitted by law. I consent to such examinations and tests and I request that the examining doctor disclose to Ace Hardware the results of the examination, which results will remain confidential and segregated from my personnel file. I understand that my employment or continued employment to the extent permitted by law, is contingent upon satisfactory medical examinations and drug test, and if I am hired a condition of my employment will be that I abide by The Company’s Drug and Alcohol Policy. I understand that filling out this form does not indicate there is a position open and does not obligate Ace Hardware to hire. If hired, I agree to abide by all company work rules, policies and procedures. Ace Hardware retains the right to revise its policies or procedures, in whole or in part, at any time. Associate Standards Agreement Helpfulness • I will be Ace HELPFUL and always give the customer top priority. • I will not offend our customers. • I will abide by the “20 foot rule”. (greet and offer help to every customer within 20ft. of me) • I will do my best to never say “no”. (I will involve management when needed). Attitude • I will maintain a consistent positive attitude (even in tough times). • I will smile when greeting customers and fellow associates. • I will be honest with customers, associates, and the company. • I will complete my tasks thoroughly and help the team however I can. • I will help make Elder’s Ace a better place; Ace will be proud of me. • I will follow and support rules of conduct, policies, and best practices of Elder’s Ace Hardware. Attendance • I will be at work when scheduled. • I will be prompt. • I will be flexible in times of need. Appearance • I will maintain superior personal hygiene and be professional in appearance. • I will abide by Elder’s Ace Hardware dress code as defined in “Associate Handbook”Signature*Date* Date Format: MM slash DD slash YYYY CAPTCHA This iframe contains the logic required to handle Ajax powered Gravity Forms.