Appliances, Electronics, Furniture, Mattreses and Lawn & Garden in Heber Springs, Conway and Searcy AR

Select your highest level of education completed

High School Attended

Major Courses

College Attended

Major Courses

Grad School Attended

Major Courses

Other graduate, business, or vocational school, or other training skills

Skills

POS Machine
Key-Cutting Machine
Paint Mixing Machine
Word Processing

Electrical
Plumbing
Building Construction
Personal Computer

Other Skills

Employment Information

Give Names and Addresses of All Previous Employers. If you are now working, present employer and reason for desire to quit must be included. Also give reason for any lapse of time between jobs.

Name of Employer*

Employer Address*

Employer Phone*

Date Employed From*

Date Employed To*

Type of Business*

Your Position/Title*

Supervisor*

Briefly describe your duties and responsibilities*

Name of Employer

Employer Address

Employer Phone

Date Employed From

Date Employed To

Type of Business

Your Position/Title

Supervisor

Briefly describe your duties and responsibilities

Name of Employer

Employer Address

Employer Phone

Date Employed From

Date Employed To

Type of Business

Your Position/Title

Supervisor

Briefly describe your duties and responsibilities

Branch

Final Rank/Grade

Specialty/MOS

Reserve Status

Have you ever been employed by our Company?

Yes No

Do you have any relatives employed by our Company?

Yes No

If yes, please state person’s name, job and employment location.

General Information

Do you consent to a background check?

Yes No

If hired, can you furnish proof of age?

Yes No

If hired, can you furnish proof you are legally entitled to work in U.S.?

Yes No

How did you hear of our Company?

Are there any other experiences, skills, or qualifications which you feel would especially fit you for work with the Company?

PLEASE READ THE FOLLOWING CAREFULLY BEFORE SIGNING BELOW: This application is considered current for 90 days. If you want to be considered for employment after this time you must renew your application in writing. We conduct background checks and drug testing before hiring.

I certify that the information contained in this application and/or any supplement thereto, is correct to the best of my knowledge and understand that any mis‐statement or omission of information is grounds for dismissal in accordance with Company Policy. I authorize F.L. Davis to contact my current and prior employers and/or above references and request any information concerning my previous employment and any pertinent information they may have, personal or otherwise, and I expressly release F.L. Davis and all parties providing such information from any and all liability or responsibility for damage that may result from furnishing the same to you.

If I am offered a position with F.L. Davis, I agree to conform to the applicable rules, regulations and policies of F.L. Davis, and acknowledge that my employment and compensation can be terminated at any time with or without cause, and with or without notice, at the option of F.L. Davis or myself. I further understand that no representative of F.L. Davis has any authority to make any agreement contrary to the foregoing or to bind F.L. Davis for the employment of any person for any specified period of time.

Date:*

Please type your name in the signature box below:*

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Employment Application

General and Contact Information

Education

Skills

Employment Information

General Information