Job Opps App -Subject

Current Positions available at VGReed & Sons

Information to come

WE ARE AN EQUAL OPPORTUNITY EMPLOYER

Last Name

First Name

Middle Initial

Address

City

State

Zip Code

Home Phone

Work Phone

Social Security Number

Email Address

Position(s) Applied For

Other

How Did You Learn About Us?

Other

If you are under 18 years of age, can your provide required proof of your eligibility to work?

Yes

N / A

Have you ever filed an application with us before?

Yes

N / A

If Yes, give date

Have you ever been employed with us before?

Yes

If Yes, give date

Are you currently employed?

Yes

May we contact your present employer?

Yes

Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status?

Yes

Proof of citizenship or immigration status will be required upon employment

On what date would you be available for work?

Are you available to work:

Full-time

Part-time

Have you been convicted of a felony within the last 7 years?

Yes

Conviction will not necessarily disqualify an applicant from employment

Education

High School	Undergraduate College / University	Graduate / Professional
Name & Location	Name & Location	Name & Location
Years Attended	Years Attended	Years Attended
Diploma/Degree	Diploma/Degree	Diploma/Degree
Course of Study	Course of Study	Course of Study
Describe any specialized training, apprenticeships, skills and extra-curricular activities.

Describe any honors you have received.

State any additional information you feel may be helpful to us in considering your application.

List professional, trade, business or civic activities and offices held. You may exclude memberships which would reveal sex, race, religion, national origin, age, ancestry, or handicap or other protected status:

References

Give name, address and telephone number of three references who are not related to you and are not previous employers.

Reference #1

Reference #2

Reference #3

Have you been ever had any job-related training in the United States Military?

Yes

If yes, please explain.

Are you physically or otherwise unable to perform the duties of the job for which you are applying?

Yes

Employment Experience

Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, handicap or other protected status.

(1.)

Employer
Address
Telephone Number
Supervisor
Job Title
Work Performed
Hourly Rate / Salary
Length of Service
Reason for Leaving

(2.)

Employer
Address
Telephone Number
Supervisor
Job Title
Work Performed
Hourly Rate / Salary
Length of Service
Reason for Leaving

(3.)

Employer
Address
Telephone Number
Supervisor
Job Title
Work Performed
Hourly Rate / Salary
Length of Service
Reason for Leaving

(4.)

Employer
Address
Telephone Number
Supervisor
Job Title
Work Performed
Hourly Rate / Salary
Length of Service
Reason for Leaving

If you need additional space, please email to the attention of John F. Hauber John.Hauber@VGReed.com with the subject of: Additional Job History.

Special Skills and Qualifications

Summarize special skills and qualifications (including equipment, office machines, and computers) acquired from employment or other experience.

Applicant's Statement

I certify that answers given herein are true and complete to the best of my knowledge.

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

The applicant understands that neither this document nor any offer of employment from the employer constitute an employment contract unless specific document to that affect is executed by the employer and employee in writing.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also that I am required to abide by all rules and regulations of the employer.

In the event that you are asked to come in for an interview, you will be required to sign and date this electronic application.