Application For Employment

Step 1 of 4

25%

Date of Application(Required)

MM slash DD slash YYYY

Personal Information

Name(Required)

First Middle Initial Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Phone (alternate)

Are you applying for(Required)

Full-time

Part-time

If part-time, how many hours a week are you looking to work?

Position Applying for(Required)

Window Treatment Installer

Customer Service Representative

Blind/Shade Manufacturing

Custom Traverse Rod Manufacturing

Warehouse

Assistant Warehouse Manager

Delivery Driver

Window Treatment Motorization Specialist

Custom Traverse Rod Manufacturing Manager

Showroom Manager

Other

If other, please list the position you are applying for

Which branch are you applying to?

How did you learn about this opening?

Have you ever worked for United Supply Co. before?(Required)

Yes

Please list any friends or relatives working for us.

Days available to work(Required)

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

From(Required)

Hours

Minutes

AM/PM

To(Required)

Hours

Minutes

AM/PM

If part-time, please list specific hours and days available

If hired, what day will you be able to start work?(Required)

MM slash DD slash YYYY

What rate of pay are you expecting?(Required)

Per(Required)

If hired, do you have means of transportation to get to work?(Required)

Yes

Some positions at United Supply Co. require heavy lifting, working on ladders, long walking, and other physical aspects. Would you have any problems with your ability to perform these physical aspects of the job?(Required)

Have you ever served in the armed forces?(Required)

Yes

If yes, in which branch did you serve?

Have you been convicted of or pleaded no contest to a felony within the last five years?(Required)

Yes

If yes, please explain

Are you at least 18 years of age?(Required)

Yes

If no, do you have an employment certificate?

Yes

Education

Please indicate your highest level of education(Required)

High School or Equivalent

Some College

Associates Degree

Bachelors Degree

Business or Trade School

Post Graduate Degree

Prior Work History

List in order starting with most recent.

Employed From(Required)

MM slash DD slash YYYY

To(Required)

MM slash DD slash YYYY

Check here if this your current employer.

Name of Employer(Required)

Position Held(Required)

Address(Required)

Rate of Pay(Required)

Per(Required)

Supervisor's Name and Title

Reason for Leaving

Employed From

MM slash DD slash YYYY

Name of Employer

Position Held

Address

Rate of Pay

Per

Supervisor's Name and Title

Reason for Leaving

Employed From

MM slash DD slash YYYY

Name of Employer

Position Held

Address

Rate of Pay

Per

Supervisor's Name and Title

Reason for Leaving

Occasionally, the space on an application makes it difficult for an individual to adequately summarize their complete background. To assist us in finding the proper position for you in our company, please use the space below to summarize any other experiences, skills, or qualifications that have prepared you for this position.

Upload Resume

Max. file size: 64 MB.

Applicant's Certification and Agreement(Required)

Please Read Carefully: I hereby certify that the statements set forth in the above employment application are true and complete to the best of my knowledge. I understand that if employed, falsified statements on this application shall be considered sufficient cause for dismissal. You are hereby authorized to make any investigation of my personal history and financial and credit record though any investigative or credit agencies or bureaus of your choice.*

Signature(Required)

Applicant's Name(Required)

Date(Required)

MM slash DD slash YYYY

CAPTCHA

United Supply Company Application for Employment

Personal Information

Education

Prior Work History