Please Read Before Filling Out This Application
Wallace Hardware Co., Inc. is an equal opportunity employer and does not discriminate in hiring or in any phase of employment on the basis of age, color, creed, disability, genetic information, marital status, national origin, race, religion, sex/gender, pregnancy status, veteran/military status, or any other consideration made unlawful by applicable federal, state or local law. No question on this application is intended to secure information to be used for such unlawful discrimination.
This application will receive active consideration for thirty (30) days from the date of submission to Wallace Hardware. If you have not heard from the Company within thirty (30) days and wish to receive further consideration for employment, it will be necessary for you to contact us and update this form or complete another application.
Position you are applying for (check all that apply):
If no, employment is subject to verification that you are of minimum age.
Federal law requires you to produce within 3 business days of hire specific documents establishing your identity and authorization to work in the United States.
A conviction will not necessarily automatically disqualify you for employment. Rather, such factors as age and date of conviction, seriousness and nature of the crime and rehabilitation will be considered.
Prior Work Record
(start with the most recent or current employer and complete in full)
Please list at least two (2) personal references who have known you at least two (2) years. Do not list any relatives.
CAUTION: PLEASE READ BEFORE SUBMITTING
As part of our procedure for processing your employment application, your personal and employment information and references may be checked. If you have misrepresented or omitted any facts on this application, and are subsequently hired, you may be discharged from your job.
I agree and understand that if I am offered employment with Wallace Hardware, I will submit to a physical examination when requested to determine fitness for duty. I further authorize any physician who has examined me as a part of this process to release to Wallace Hardware a complete record of his findings and opinions.
I hereby certify that the facts set forth in the above employment application are true and complete to the best of my knowledge. I hereby grant permission to Wallace Hardware to investigate any of the information included in this application, and I hereby release all such persons and organizations from any claims for damages or otherwise by reason of furnishing such information and records. I hereby release Wallace Hardware from any/all liability of whatever kind and nature which, at any time, could result in obtaining and having an employment decision based on such information.
I understand that, if employed, falsified statements of any kind or omissions of facts called for on this application shall be considered sufficient basis for discharge.
I understand that should an employment offer be extended to me and accepted that I will fully adhere to the policies, rules and regulations of employment of Wallace Hardware. However, I further understand that neither the policies, rules, regulations of employment or anything said during the interview process shall be deemed to constitute the terms of an implied employment contract. I understand that any employment offered is at will and for an indefinite duration, and that either I or Wallace Hardware may terminate my employment at any time with or without notice or cause.
PLEASE LOOK OVER YOUR APPLICATION AND MAKE SURE YOU HAVE GIVEN AN ANSWER TO EVERY ITEM
As part of its on-going program to select the best candidates for employment and maintain the best employees to provide a safe and healthy place for employment for all employees, Wallace Hardware may test applicants for employment and employees for drug and alcohol usage. Wallace Hardware’s testing includes the testing of applicants and the testing of employees randomly, upon reasonable cause, and upon an employee being involved in or contributing to an accident resulting in actual or potential injury or property damage. Reasonable cause testing will result when an employee appears to be unfit for duty or has given the company cause to suspect drug or alcohol abuse.
I hereby consent to the above-mentioned drug and alcohol screens, including, but not limited to, a urine test and/or blood test, and to a disclosure of the results of the test to Wallace Hardware for its use and internal communication. I hereby release and fully and forever discharge Wallace Hardware any laboratory or facility which performs analysis from any claim or liability arising from such tests including, but not limited to, the testing procedure, the analysis, the accuracy of the analysis or the disclosure of its results.
I understand that the results of any such drug screening tests will be considered in any employment decision, including the rejection of me as an applicant for employment or disciplinary action up to and including termination of me as an employee of Wallace Hardware.
I understand that the drug and alcohol screens may pick up on the presence of prescription drugs and that it is important for me to disclose any prescription drugs which I am using, or which I have recently used, prior to the screen test being conducted. I under- stand that as an applicant or employee of Wallace Hardware, that I must report all prescription drugs which have been prescribed for my use or which I am using at all times. I authorize Wallace Hardware to contact the physician who prescribed any medication reported by me and I hereby authorize the physician to provide information to Wallace Hardware regarding its effect or potential effect on my performance.
If hired, as part of my continued employment with Wallace Hardware, I consent to tests for drug and alcohol usage and I further con- sent to searched of any areas on Wallace Hardware’s premises including but not limited to lockers, furniture, containers, drawers, equipment or other facilities, lunch boxes, briefcases, personal bags, personal tool boxes or tool kits, parking lots, Wallace Hardware vehicles and personal vehicles parked on company premises.
I realize that the presence of drugs or alcohol in the workplace and the influence of these substances on me as an applicant / employee during work hours are inconsistent with company objectives.
I HAVE READ THE ABOVE ACKNOWLEDGMENT AND AGREEMENT AND FULLY UNDERSTAND IT.
Employment and Application Acknowledgment and Agreement