Please e-mail any employment questions to
kevin@areadistributing.com Please print the following employment application, complete and fax or mail to:
P. O. Box 8589, San Jose, CA 95155
FAX: (408) 975-7881
Applications are also accepted at all store locations.
Interviews are by appointment only. |
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| APPLICATION FOR EMPLOYMENT |
DATE:___________ |
| PERSONAL INFORMATION |
| NAME____________________ |
Social Security #:______________ |
 LASTFIRST |
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| PRESENT ADDRESS:________________________________ |
| STREET |
| _____________________________________ |
| CITYSTATE |
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| PERMANENT ADDRESS:___________________________ |
| STREET |
| _____________________________________ |
| CITYSTATE |
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| PHONE NO.___________ |
REFERRED BY:_____________ |
| EMPLOYMENT DESIRED |
| POSITION______________ |
DATE YOU CAN START________ |
SALARY DESIRED___________ |
| Are You Employed?___ |
If so, may we inquire of your present employer?______ |
| Ever Applied to this Company before?_____ |
WHERE?____________ |
WHEN?________ |
| EDUCATION |
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Name & Location of school |
Years Attended |
Date Graduated |
Subject Studied |
| Grammar School |
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| High School |
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| College |
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| Trade, Business or Correspondence School |
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| GENERAL |
Subjects of Special Study or Research Work:
______________________________________________________________ |
| What Foreign Language do you Speak Fluently?_________ |
READ____________ |
WRITE___________ |
| U. S. Military or Naval Service:_________ |
Rank____________ |
Present Membership in National Guard or Reserves ____Yes _____No |
| SPECIAL QUESTIONS |
| DO NOT ANSWER ANY OF THE QUESTIONS IN THIS AREA UNLESS THE EMPLOYER HAS CHECKED
A BOX PRECEDING A QUESTION THEREBY INDICATING THAT THE INFORMATION IS REQUIRED FOR A BON FIDE OCCUPATIONAL QUALIFICATION OR DICTATED BY
NATIONAL SECURITY LAWS, OR IS NEEDED FOR OTHER LEGALLY PERMISSIBLE REASONS. |
| ( ) Height_____ |
( ) Weight_____ |
Citizen of U. S.
Yes___ No___ |
Date of Birth________ |
| * The Age Discrimination in Employment Act of 1967 prohibits
discrimination on the basis of age with respect to individuals who are at least 40 but less than 70 years of age. |
| PHYSICAL RECORD |
| Do you have any physical defects that preclude you from performing
any work for which you are being considered?_____________________________ |
| Were You Ever Injured?____________________ |
Give Details:_____________________________ |
| Do you have any defects in hearing?__________________________ |
In Vision?_____ |
In Speech?_____ |
In Case of Emergency, Notify: ________________________________________
NameAddress
Phone Number |
| FORMER EMPLOYERS |
List Below Last Four Employers, Starting with Last One First
Date Month & Year |
Name & Address of Employer |
Salary |
Position |
Reason for Leaving |
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| To:____________ |
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| From:____________ |
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| To:____________ |
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| From:____________ |
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| To:____________ |
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| From:____________ |
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| To:____________ |
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| THIS FORM HAS BEEN DESIGNED TO COMPLY WITH STATE AND FEDERAL FAIR EMPLOYMENT PRACTICE
LAWS PROHIBITING DISCRIMINATION ON THE BASIS OF AN APPLICANT'S SEX OR MINORITY STATUS. QUESTIONS DIRECTLY OR INDIRECTLY
REFLECTING SUCH STATUS HAVE BEEN INCLUDED ONLY WHERE NEEDED TO DETERMINE A BONA FIDE OCCUPATIONAL
QUALIFICATION OR FOR OTHER PERMISSIBLE PURPOSES, SUCH QUESTIONS ARE APPROPRIATELY NOTED ON THE APPLICATION. NOT
WITHSTANDING THESE EFFORTS, THE MANUFACTURER OF THIS FORM ASSUMES NO RESPONSIBILITY AND HEREBY DISCLAIMS ANY LIABILITY FOR
INCLUSION IN THIS FORM OR ANY QUESTIONS UPON WHICH A VIOLATION OF STATE AND
FEDERAL FAIR EMPLOYMENT PRACTICE LAW MAY BE BASED. |
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Copyright ©2003 Central Cash & Carry |
