Employment Application

Thank you for your interest in growing your career at TCH. Please fill out the form below and someone from HR will contact you shortly.

Twin City Hardware, Co. is an Equal Opportunity Employer. Prospective employees will receive consideration without discrimination based on race, creed, color, sex, age, national origin, handicap, or veteran status.

Applicant Information

Last Name

First Name

Middle Initial

Street Address

Apartment/Unit

City

State

ZIP

Phone

Position Applying For

Date Available

Desired Salary

Other Special Training/Skills?

Apart from absence for religious observance, are you available for full-time work?

Yes No

If no, what hours can you work?

Will you work overtime if asked?

Yes No

Any relatives working for TCH?

Are you authorized to work in the United States?

Yes No

Have you ever worked for TCH in the past?

Yes No

If so, when?

Education

University / High School

Address

Did you graduate?

Yes No

Degree

References

Full Name

Relation

Company

Phone

Address

Previous Employment

Company

Phone

Address

Supervisor

Job Title

Responsibilities

Employed From

Reason for Leaving

May we contact your previous supervisor for a reference?

Yes No

Personal Information

The information requested below is needed for legally permissible reasons only, including and without limitation to, national security considerations, a legitimate occupational qualification or business necessity. The Civil Rights Act of 1964 prohibits discrimination in employment because of race, color, religion, sex or national origin. Federal law also prohibits discrimination based on age, citizenship and disability. The laws of most States also prohibit some or all of the above types of discrimination as well as some additional types such as discrimination based upon ancestry, marital status and sexual preference.

Are you over the age of 16?

Yes No

Military Service

Branch

Active From

Rank at Discharge

Type of Discharge

If other than honorable, please explain

Disclaimer and Signature

The information provided in this Application for Employment is true, correct, and complete; if employed, any misstatement or omission of fact on this application may result in my dismissal. I further understand that acceptance of an offer of employment does not create a contractual obligation upon the employer to continue to employ me in the future. If you decide to engage an investigative consumer reporting agency to report on my credit and personal history, I authorize you to do so. If a report is obtained you must provide, at my request, the name of the agency so I may obtain from them the nature and substance of the information contained in the report.