Employment Application


Please fill out this application completely and to the best of your ability.

If you would like to email a resume, please click here.

The information that you provide will be kept strictly confidential.

If you perfer, you may come into our office and complete an application in person.



Thank you for your interest in Wheeler Brothers.


 

Contact Information
Name  
Address 1  
Address 2  
City  
State  
Zip Code  
Phone  
Email  


 

Cover Letter and Resume


Resume  


 

Personal Information
Are you legally eligible to be employed in the United States? (proof will be required)   Yes    No  
Are you at least 18 years or older? (If no, you may be required to provide authorization to work.)   Yes    No  
Have you ever been convicted, pled guilty or no contest, or forfeited bond or bail for any crime other than traffic violations?   Yes    No  
If yes, please explain:  
Conviction of a crime is not an automatic bar to employment.  Factors such as the nature and gravity of the crime, the length of time that has passed since the conviction and/or completion of any sentence, and the nature of the job for which you have applied will be considered.

Have you ever worked for this Company before?:   Yes    No  
If Yes, please provide details (Where/When/Job Title):  
Are you able to perform the essential functions of the job for which you are applying?   Yes    No  
If no, please explain:  


 

Employment Desired
Location Desired  
Position Applied For  
When would you be available to begin work?: 
Type of employment desired:   Full-Time    Part-Time    Seasonal  
Hourly rate/salary desired 
Are you currently employed?   Yes    No  
If so may we inquire of your present employer?:   Yes    No  
If presently employed, why are you considering leaving?:  


 

Education
School & Location   Did you graduate?    Yes
 No
Degree Recevied   Subjects Studied/Major  
School & Location   Did you graduate?    Yes
 No
Degree Received   Subjects Studied/Major  
School & Location   Did you graduate?    Yes
 No
Degree Received   Subjects Studied/Majors  


 

Employment History

Employer 1

Employed From   Employer Name   Employer Phone  
Employed To   Employer Address   Employer Email  
Job Title   Supervisor Name & Title   May we contact?    Yes
 No
Responsibilities   Reason for Leaving  
Starting Salary   Ending Salary  

Employer 2

Employed From   Employer Name   Employer Phone  
Employed To   Employer Address   Employer Email  
Job Title   Supervisor Name & Title   May we contact?    Yes
 No
Responsibilities   Reason for Leaving  
Starting Salary   Ending Salary  

Employer 3

Employed From   Employer Name   Employer Phone  
Employed To   Employer Address   Employer Email  
Job Title   Supervisor Name & Title   May we contact?    Yes
 No
Responsibilities   Reason for Leaving  
Starting Salary   Ending Salary  


 

References
Reference 1   Relationship   Phone Number  
Reference 2   Relationship   Phone Number  
Reference 3   Relationship   Phone Number  


 

Authorization


The facts set forth in this application and any supplemental information is true and complete to the best of my knowledge. I understand that, if employed, falsified statements on this application shall be considered sufficient cause for immediate discharge. I hereby authorize investigation of all statements contained herein and employers listed above to give you any and all information concerning my employment, and any pertinent information they may have, and release all parties from all liability for any damage that may result from furnishing same. 

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for the company to hire me. If I am hired, I understand that either the company or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of the company has the authority to make any assurance to the contrary.

I understand that I am required to abide by all rules and regulations of the company.


Signature (Type Name)  
Date  
Please type the text in the box.


   
  

 
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