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Home Decor Liquidators Online Job Application

What position are you applying for?:*

CONTACT INFORMATION

First Name:*
Last Name:*
Email Address:*
Phone Number:*
Address 1:*
Address 2:
City:*
State:*
Zip Code:*

EDUCATION

Type of School

Name & City

Graduate?

Type of Degree

High School

Yes No

College

Yes No

Other

Yes No


PREVIOUS EMPLOYMENT

May we contact your present employer?    Yes No

From Month & Year:   to:

Company Name:

Address:

Address:

City, State, Zip:

Immediate Supervisor:

Supervisor Phone No.:

Your Job Title:

Ending Salary:

Job Duties:

From Month & Year:   to:

Company Name:

Address:

Address:

City, State, Zip:

Immediate Supervisor:

Supervisor Phone No.:

Your Job Title:

Ending Salary:

Job Duties:

From Month & Year:   to:

Company Name:

Address:

Address:

City, State, Zip:

Immediate Supervisor:

Supervisor Phone No.:

Your Job Title:

Ending Salary:

Job Duties:

I certify that the information, answers, and statements made by me in this application are correct to the best of my knowledge and understand that any falsification of this information is grounds for dismissal.  I authorize the references listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all parties from all liability and claims for any damage that may result from furnishing same to you.  In consideration of my employment, I agree to conform to the rules and regulations of the Company.  I understand that my employment and compensation can be terminated with or without cause, and without notice, at any time at the option of either the Company or myself.  I understand that no Company representative has any authority to enter into any agreement to employ me for any specified period of time or to make any agreement to the foregoing.  I understand as part of the processing procedure for my employment application an investigative background report may be requested.  Upon written request within a reasonable period of time, a complete and accurate disclosure concerning the nature and scope of the investigation may be furnished to me.

I agree to take a drug test at any time, at the discretion of the Company.  I further agree that should the circumstance arise, I will submit to a polygraph test in accordance with state and federal laws.  I understand fully the document I am signing.  I understand that this application will remain active for a period of 30 days unless I revoke it personally and in writing.  In the event that I am hired, it will remain active until my separation.

 

Initials (if submitting online)     Signature (if printing):  _________________________________

 

For your records and protection, we strongly recommend that you print out this page after you have filled it out, as well as the confirmation page that comes up after you click Submit.

We will contact you as soon as possible.  Thank you for applying!