Employment Application

We consider applicants for all positions without regards to race, color, religion, sex, national origin, age, marital or veteran status, the presence of a non-job-related medical condition or handicap, or any other legally protected status. Background checks are required upon hiring. If you have any questions, please email rdraper@akinlbr.com.

Date of Application

YYYY

Applicant Information:

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Telephone Number

(###)

###

####

Date Available:

YYYY

Social Security No.:

Desired Salary:

Position(s) Applied For

Are you a citizen of the United States?

If no, are you authorized to work in the U.S.

Have you ever worked for this company?

If yes, when?:

YYYY

Have you ever been convicted of a felony?

If yes, explain:

EDUCATION

High School

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Did you graduate?

Diploma:

From:

To:

College/University

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Major

Did you graduate?

Degree:

From:

To:

Other:

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

From:

To:

Did you graduate?

Degree/Certificate

REFERENCES:

Please list three professional references.

Name

First Name

Last Name

Relationship:

Company:

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Name

First Name

Last Name

Relationship:

Company:

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Name

First Name

Last Name

Relationship:

Company:

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

PREVIOUS EMPLOYMENT

Start with your present or last job.

1. Company

Telephone Number

(###)

###

####

Address

Supervisor

Job Title

Starting Salary:

Ending Salary:

Responsibilities:

Dates Employed From - To

Reason for Leaving

May we contact your previous supervisor for a reference?

2. Company

Telephone Number

(###)

###

####

Address

Supervisor

Job Title

Starting Salary:

Ending Salary:

Responsibilities:

Dates Employed From - To

Reason for Leaving

May we contact your previous supervisor for a reference?

3. Company

Telephone Number

(###)

###

####

Address

Supervisor

Job Title

Ending Salary:

Starting Salary:

Responsibilities:

Dates Employed From - To

Reason for Leaving

May we contact your previous supervisor for a reference?

4. Company

Telephone Number

(###)

###

####

Address

Supervisor

Job Title

Starting Salary:

Ending Salary:

Responsibilities:

Dates Employed From - To

Reason for Leaving

May we contact your previous supervisor for a reference?

MILITARY SERVICE

Branch:

From:

To:

Rank at Discharge:

Type of Discharge:

If other than honorable, explain:

Special Skills and Qualifications

Summarize special job-related skills and qualifications acquired from employment or other experience.

How did you learn about us?

Employment Agency

Friend

Relative

Walk-In

Other

AT-WILL EMPLOYMENT The relationship between you and the AKIN BUILDING CENTER is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or the AKIN BUILDING CENTER. No representative of AKIN BUILDING CENTER has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will," and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and either the Company's President. By typing your full name below you are electronically signing and agreeing to this statement.

Name

First Name

Last Name

Date

YYYY

Employment Application

Company

Building Centers

Design Centers

Locations