Thank you for your interest in working at Heuser Ace Hardware or Heuser Paint! Please fill out the below form in its entirety, and email any other materials to hiring@heuserhardware.com. Thank you! Name * First Name Last Name Email * Phone * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Position Applying For: * Cashier, Floor Associate/Product Expert, Loader, Manager How many hours per week are you looking for? * We require a minimum of 20 hours per week What hours are you available to work? * We are open 7 am to 7 pm Monday through Saturday, and 10 am to 5 pm on Sunday. What is your desired salary? $ When are you available to start? * MM DD YYYY In which areas are you knowledgeable? Plumbing Electrical Cash Register / POS System Paint Mixing Hardware Garden Center / Live Goods Back-office / Inventory Systems Retail Management Why do you want to work at Heuser Hardware? Please include any relevant information, skills, or history. Are you a citizen of the United States? * Yes No, but am authorized to work in the US No, and am not authorized to work in the US Have you ever worked for this company? * Yes No Are you able to lift 50 lbs? Required for Floor Associate, Loader, and Manager positions Yes No Do you have reliable transportation? * Yes No You must be above various ages to be allowed to do many tasks: * I am over 18 (can operate all machinery) I am over 16, but under 18 (can work without Minor restrictions) I am under 16 This job requires extended periods of time, from 4-8 hours, on your feet. Are you capable of this? * Yes No Education History High School Please include city and state Dates Attended: Did you graduate? Yes No College/University: Please include city and state Dates Attended: Did you graduate? Yes No Please list any further education: Include any advanced degrees, certifications, certificates, or relevant education Previous Employment Information Please fill in, even in Resume is submitted. Name of Previous Employer (1): Position and description of responsibilities: Name of your Supervisor: Starting Date MM DD YYYY Ending Date MM DD YYYY Starting Salary $ Ending Salary $ Reason for leaving May we contact your previous employer for a reference? Yes No Name of Previous Employer (2): Position and description of responsibilities: Name of your Supervisor: Starting Date MM DD YYYY Ending Date MM DD YYYY Starting Salary $ Ending Salary $ Reason for leaving May we contact your previous employer for a reference? Yes No Name of Previous Employer (3) Position and description of responsibilities: Name of your Supervisor: Starting Date MM DD YYYY Ending Date MM DD YYYY Starting Salary $ Ending Salary $ Reason for leaving May we contact your previous employer for a reference? Yes No Disclaimer and Signature * By typing my name below, I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. Date * MM DD YYYY Thank you!Your application has been submitted, and we will review it as quickly as possible. If you have any additional materials to submit, please email them to hiring@heuserhardware.com.
