Employment Application

Personal Data (All Personal Data is Required)












Yes     Yes




Education (High School Name is Required)












References

List any two personal references, at least 18 years of age, we may contact (Do not include relatives, former employers, or employees of SKH):
Reference 1:






Reference 2:






Location Desired















Type of Work Desired




Are you seeking:





Availability




Specify All Days and Hours Available
DayAMPM
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Specify All Shifts Available For Work







Employment History

Applications for employment with Stauffers of Kissel Hill must reflect a complete work history. If enough space is not provided here, please fully utilize the spaces available, and the remaining work history may be given at a later date. Applications deemed to be incomplete in any way will not be considered for employment.

Most Recent employer:









Previous employer:









Previous employer:









Previous employer:









Previous employer:









Acknowledgement

I certify that any misrepresentation or omission of any fact on the application, resume, or any other materials, or any interview can be justification for refusal of employment or termination of such employment. I understand that as a condition of employment, I may be required to submit to drug testing and/or successfully complete an employment physical.

In processing my application for employment, the company may verify all the information I have provided or may have prepared an investigation consumer report concerning my prior employment, education, general character reputation, personal characteristics, and mode of such a report was requested and with full information as to the nature and scope of the investigation.

The Employment agreement Stauffers of Kissel Hill maintains with its employees is an "At Will" agreement.

I understand and agree that my employment may be terminated at any time for any reason, with or without advance notice. I also understand that no manager or representative of the company other than the CFO has the authority to enter into an agreement or make any representations contrary to the Employment At Will agreement. I understand that no such agreement entered into by the CFO shall be enforceable unless it is in writing and signed by the CFO.

By checking ACKNOWLEDGE below, you accept and agree to all of the above terms.