Anna's Home Furnishings

ANNA'S HOME FURNISHINGS IS AN EQUAL OPPORTUNITY EMPLOYER, DEDICATED TO A POLICY OF NON-DISCRIMINATION IN EMPLOYMENT ON ANY BASIS INCLUDING RACE, COLOR, AGE, SEX, RELIGION, DISABILITY, MARITAL OR VETERAN STATUS, SEXUAL ORIENTATION OR NATIONAL ORIGIN.

If a section does not apply to you, please leave blank.

Personal Information

First name:

Middle name:

Last name:

Street address:

City:

State:

Zip code:

Home phone:

Alternate phone:

Email address:

Are you 16 years of age or older?

Yes No

Referred by:

Employment Desired

Position sought:

Location desired:

Date you can start:

Salary desired:

Are you currently employed?

Yes No

If so, may we inquire of your present employer?

Yes No

Have you applied at Anna's before?

Yes No

Dates:

Have you ever been employed by Anna's?

Yes No

Which location:

When:

Are you acquainted with or related to anyone who works for Annas?

Yes No

If yes, who?

Are you lawfully prevented from becoming employed in this country because of visa or immigration status? (If hired, you will be required to provide proof of your identity and authorization to work.)

Yes No

If yes, explain

Days available to work:

Willing to work overtime if needed?

Yes No

Education

high school

Name:

Location:

Last year completed:

Did you graduate?

Yes No

Diploma received

college / trade / business school

Name:

Location:

Last year completed

Did you graduate?

Yes No

Major/Minor

Degrees received

post graduate

Name:
Location:
Credits earned
Did you graduate?	Yes No
Subjects studied
Degrees received	MA MS MBA Doctorate

General

Subjects of special study (seminars, courses, workshops)

Job related skills or qualifications
(computer skills/training/certifications)

Have you ever been convicted of a criminal offense?

Yes No

If yes, please explain (A record of conviction does not necessarily disqualify an applicant from employment)

Activities (other than religious, i.e. civic, athletic, etc.) (Exclude organizations, the name of character of which indicates the race, sex, color or national origin of its members.)

Former Employers

employer #1

Date hired:
Last date of service:
Name of Employer
Address:
City, State, Zip code:
Phone:
Position:
Salary:
Reason for leaving:
Is there a reason you would not want us to contact this employer?	Yes No
If yes, please explain
Your name when employed, if different than present name?
Length of service:	Years: Months:

employer #2

Date hired:
Last date of service:
Name of Employer
Address:
City, State, Zip code:
Phone:
Position:
Salary:
Reason for leaving:
Is there a reason you would not want us to contact this employer?	Yes No
If yes, please explain
Your name when employed, if different than present name?
Length of service:	Years: Months:

employer #3

Date hired:
Last date of service:
Name of Employer
Address:
City, State, Zip code:
Phone:
Position:
Salary:
Reason for leaving:
Is there a reason you would not want us to contact this employer?	Yes No
If yes, please explain
Your name when employed, if different than present name?
Length of service:	Years: Months:

Skills

For sales applicants: What type of merchandise have you sold?
For clerical/office applicants: What computer programs do you know/use?
For delivery or warehouse applicants: What equipment have you used?

References List below three persons not related to you, whom you have known at least one year.

reference #1

Name:
Address:
City, State, Zip code:
Phone number:
Occupation/Relationship:
Years Acquainted:

reference #2

Name:
Address:
City, State, Zip code:
Phone number:
Occupation/Relationship:
Years Acquainted:

reference #3

Name:
Address:
City, State, Zip code:
Phone number:
Occupation/Relationship:
Years Acquainted:

Authorization and Agreement

I understand that nothing contained in this employment application, or in the granting or conducting of an interview, is intended to create an employment contract between Anna's Home Furnishings and myself either for employment or for the providing of any benefit. No promises regarding employment or duration of employment have been made to me and I understand that no such promises or guarantees are binding upon Anna's Home Furnishings unless made in writing by the president of the corporation. If an employment relationship is established, I understand that my employment is at-will, and that I have the right to terminate my employment at any time for any reason, and that Anna's Home Furnishings retains a similar right, with or without cause.

I hereby certify that the statements made in this application are true and correct herein. I also authorize my previous employers, companies, schools and persons named herein as references to give any information relevant to my bona fide employment qualifications to Anna's Home Furnishings. I hereby release said previous employers, companies, schools, persons, and Anna's Home Furnishings from, any and all liability and responsibility arising out of the release or receipt of such information.

I further agree that, if employed by Anna's Home Furnishings, I will conform my conduct to Anna's Home Furnishings's rules, regulations, and policies.

I have read the above authorization and agreement and agree to its terms.

Applicant's Name:
	If selected for an interview a signature will be required.
Date:

in case of emergency notify:
Name:
Relationship:
Address:
City, State, Zip code:
Phone:

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We can accept resumes in the following formats: .txt, .pdf, .doc, .wps and .wpd

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