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Power Equipment
Tools & Welding
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Workwear
PROJECTS
Careers
Contact Us
Home
About
PRODUCTS
Automotive
Equestrian
Farm
Footwear
Glass & Screen
Hardware
Household Supplies
Keys
Lawn & Garden
Medical Uniforms
Paint
Parts & Accessories
Pet
Plumbing & Electrical
Power Equipment
Tools & Welding
Toys & Games
Workwear
PROJECTS
Careers
Contact Us
C&S Supply ONLINE APPLICATION
Today's Date
*
MM
DD
YYYY
Position Applying for
*
Hardware Department
Clothing & Footwear
Cashier
Office
Shop
Any Available
Postition Preferred
Full Time
Part Time
Name
*
First Name
Last Name
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Email
*
Phone
*
(###)
###
####
Available Start Date
*
MM
DD
YYYY
Do you have a valid drivers license?
*
Yes
No
Are you authorized to work and remain in the United States?
*
YES
NO
Have you ever been employed by C&S Supply?
*
YES
NO
Are you related to any C&S Supply Employee?
*
YES
NO
Are you a High School Graduate or have GED?
*
YES
NO
Are you presently attending school?
*
YES
NO
Type of Education
College or University
Graduate School
Vocational or Special Training
Name of Institution
Field of Study
Type of Degree
Did you graduate?
YES
NO
Equipment Operated
Employment History
Beginning with your present or most recent experience, account for all employment during the past two (2) years. Include military service if applicable.
Name of Employer
Current or Most Recent Employer
Your Job Title
Employer's Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone 1
Previous employers phone number
(###)
###
####
Supervisor Name
First Name
Last Name
Date Started
MM
DD
YYYY
Date Ended
MM
DD
YYYY
Reason for leaving
Description of Duties
May we contact employer?
YES
NO
Name of Employer
Your Job Title
Supervisor Name
First Name
Last Name
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
(###)
###
####
Date Started
MM
DD
YYYY
Date Ended
MM
DD
YYYY
Description of Duties
Reason for Leaving
May we Contact?
Yes
No
Personal Reference
Personal Reference Full Name
First Name
Last Name
Personal Reference Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Reference's Business or Occupation
Reference's Phone Number
(###)
###
####
APPLICANT’S STATEMENT AND AUTHORITY TO RELEASE INFORMATION (Required for ALL Positions)I understand that this employment application and any other documents are not contracts of employment, and any person hired may be terminated by the employer at any time for any reason. I understand that any oral or written statements to the contrary are expressly disavowed and should not be relied upon by a prospective or existing employee. I understand that C&S Supply may modify, change, or revoke any of its employment policies,pay practices, and benefits without my agreement. I hereby state that all answers on this application are true and understand that falsifying this information can lead to termination if hired. I hereby authorize any and all persons, companies, or agencies to release any and all background information, of a confidential or privileged nature,including criminal history, relevant to this application and any pertinent information they may have to the hiring authorities of C&S Supply. I release all such parties from all liability of every kind as the result of furnishing the same to C&S Supply. This information is to be used to assist the C&S Supply in determining my qualifications and fitness for the position I am seeking. I hereby release C&S Supply and its officers, agents and employees from any liability for the use of any and all of the foregoing information, in consideration for being reviewed for the aforesaid position.
Tell us why you are applying for this position! What excites you about the company or the role?
*
Thank you!
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