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Mt. Jackson
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EMPLOYMENT APPLICATION
PERSONAL INFORMATION
*
Indicates required field
Name
*
First
Last
Date
*
Today's Date
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Email
*
Phone Number
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Date Available
*
Desired Salary
*
Position Applying For
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Are you a citizen of the United States?
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Yes
No
If no, are you authorized to work in the U.S.?
*
Yes
No
N/A
Have you ever worked for Randy's Hardware, Inc. before?
*
Yes
No
If yes, when?
*
Have you ever been convicted of a felony?
*
Yes
No
If yes, explain
*
Are you able to work nights and weekends?
*
Yes
No
If no, explain
*
Are you able to lift up to 100 lbs.?
*
Yes
No
If no, explain
*
Note: Randy's Hardware, Inc. is an equal opportunity employer in compliance with all federal, state, and local laws. As such, Randy's Hardware, Inc. will not discriminate based on the answers you provide to these questions.
EDUCATION
High School
*
From - To
*
In what years were you enrolled?
Location
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Did you graduate?
*
Yes
No
College/Trade School
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From - To
*
In what years were you enrolled?
Location
*
Did you graduate?
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Yes
No
Other
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From - To
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In what years were you enrolled?
Location
*
Did you graduate?
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Yes
No
REFERENCES
Please list three professional references.
Full Name
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Relationship
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Company
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Phone/ Email
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Full Name
*
Relationship
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Company
*
Phone/ Email
*
Full Name
*
Relationship
*
Company
*
Phone/ Email
*
PREVIOUS EMPLOYMENT
Company
*
Phone
*
Address
*
Immediate Supervisor
*
Position
*
Starting Salary
*
Ending Salary
*
Responsibilities
*
May we contact your previous supervisor?
*
Yes
No
From
*
To
*
Reason For Leaving
*
Company
*
Phone
*
Address
*
Immediate Supervisor
*
Position
*
Starting Salary
*
Ending Salary
*
Responsibilities
*
May we contact your previous supervisor?
*
Yes
No
From
*
To
*
Reason For Leaving
*
Company
*
Phone
*
Address
*
Immediate Supervisor
*
Position
*
Starting Salary
*
Ending Salary
*
Responsibilities
*
May we contact your previous supervisor?
*
Yes
No
From
*
To
*
Reason For Leaving
*
MILITARY EXPERIENCE
Have you served in the US Military?
*
Yes
No
If yes, what branch?
*
When?
*
Rank When Discharged
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Type of Discharge
*
If not honorable, please explain
*
OTHER
Other Applicable Skills, Experience, or Service
*
Anything else you would like for us to know?
*
read this before clicking "submit"
By clicking "SUBMIT" below, I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
SUBMIT APPLICATION
Home
Shop
Hardware Store Online
Shenandoah Mercantile
Case Knives
Bark River Knives
Clearance Table
Rentals
Find the Right Rental For You
Equipment List
About
Our Crew
Our Leadership Team
Our Story
Randy's World
Our Brands & Products
Our Friends
Did You Know?
More Info
Randy's Rewards Program
Useful Forms
Employment Application
Credit App
Site Map
Contact
Timberville
Bridgewater
Mt. Jackson
Ruckersville