Fireplaces Etc. Corporation- Fireplace Etc

Employment Application

Thank you for your interest in working at Fireplaces Etc. If you cannot pass drug screening or have more than one violation on your driving record, please do not apply.

To ensure that you are considered for employment, please make certain that all questions are answered.

First Name*	Last Name*
Are you at least 18 years old?*	What position are you applying for?*
PERMANENT ADDRESS
Street*	City*
State*	Zip*
Work Phone*	Home Phone*

Are any Relatives Employed with Fireplaces Etc. or American Overhead Door?*
Their Name*
Date you are Available to Work*	Do you Intend to Engage in Other Work While you are Employed Here?*

Is your availability to work limited?*
Are you willing to work flexible hours, which could include weekends and/or overtime?*
Are you willing to travel?*	How much and how far?*
Are you engaged in the illegal use of drugs (such as marijuana, cocaine, heroine, crack, speed, LSD, etc.)?*
Are you willing to be tested for illegal drugs?*	May we see your driver’s license to verify your identity?*
Please describe your high school, collegiate, and/or trade school education. Please include the name of the school and its location, the years you attended the school, and the degree you attained. Also, please list any academic honors of awards that you received.*
Please state any other information about your personal qualities, skills, and abilities which would be helpful in considering you. (Including strengths, weaknesses, goals, etc.)*
Are you currently employed?

Please attach any employment recommendation letters. File Size: 5000KB Maximum File Types: .docx .doc .pdf	Please upload your resume. File Size: 1000KB Maximum File Types: .docx .doc .pdf
Please provide below your prior employment history for the preceding five employers or past five years, whichever is greater Company Supervisor Phone Dates Position Salary Reason for Leaving
Criminal History Past criminal history will not bar consideration for employment. factors such as age at time of conviction, length of time since offense, seriousness of offense, and rehabilitation will be considered in any final decisions.
Have you been convicted of a crime?*
List all of the misdemeanors and felonies (other than parking and traffic violations) for which you have been convicted, including DWI. Please include the year, location and type of crime (theft, etc.)
Driving Record If you are applying for a position that involves driving on the job. Please answer the following questions:
DO YOU HAVE A VALID, UNEXPIRED DRIVER’S LICENSE?
DRIVERS LICENSE#	EXPIRATION DATE	ISSUING STATE
STATE ALL OF YOUR DRIVER’S LICENSE RESTRICTIONS
Has your drivers license ever been revoked or suspended?
Please Explain
List all traffic violations (other than parking tickets) for which you were convicted during the past five years. Please include the year, violation, and city and state in which the infraction occurred.
Personal References: (do not include relatives, roomates or previous employers). Please include their names, phone numbers, and years known.*
Medical Exam and Drug Tests: Reliable attendance and dependable performance during the contemplated work hours is required. Before or after any offer of employment is made, you may be asked to be tested for illegal drug use. You may also be asked to take a job related medical exam if a conditional offer of employment is made.
In your opinion, what is the best learning method?*
Do you smoke?*
How do you take criticism?*
How would you describe self-motivation?*
Salary Desired*	Have you ever had any industrial accidents?*
Describe the accident and if it has been settled.
Do you have any medical problems or take any type of medication that would hinder you from doing your job?*	PLEASE DESCRIBE
Have you ever been fired, terminated, or asked to resign by any employer?*	PLEASE EXPLAIN
Please explain all periods of unemployment between jobs listed.*
APPLICANT'S CERTIFICATION: I certify that all information given on this application is complete and accurate. All of my work experience, training, and other information requested on this application have been disclosed. I have not withheld any fact or circumstance, which is covered by this application. I understand that if I have made any false, misleading, or incomplete information on this application will result in rejection of my application or will result in termination of employment whenever discovered. I agree to furnish additional information as may be requested. I release Employer and all other parties from any claims, liabilities and damages resulting from obtaining or furnishing such information. If I am actually employed, I understand that I will be asked to sign a Federal I-9 form and to provide positive proof of my identity and verification of my right to live and work in the United States. If I am actually employed, I agree to abide by Employer’s rules, procedures, and policies as modified from time to time, including any drug free workplace policies. If I am employed I have been informed that the job being applied for requires reliable attendance and dependable performance during the contemplated working hours. If I am employed, I understand that I may be required to work various schedules as directed by my supervisor. I understand that any employment is subject to change in wages, conditions, benefits, and operating policies. I understand that if I am employed, such employment will be for an indefinite period and can be terminated at any time by Employer, myself, without advance notice and without cause. I understand that this application does not constitute an offer of acceptance of employment or an employment contract. This certification applies to all information contained in the above attachments.
PLEASE TYPE YOUR NAME TO SERVE AS AN ELECTRONIC SIGNATURE*

Submit
* Required

PERMANENT ADDRESS

Criminal History

Driving Record

Medical Exam and Drug Tests:

APPLICANT'S CERTIFICATION: