Careers | Renovators Supply

Personal Info

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First Name

Middle Name

Last Name

Social Security Number

Street

Zipcode

City

State

Phone

Are you a US Citizen?

If not, do you have legal authorization to work in this country ?

Are you 18 or older?

Do you have relatives working for this company?

Do you smoke?

Are you physically challenged?

NOTE (This question is voluntary and any answers will be kept confidential.)

Emergency Contact Person

Emergency Phone

Have you ever been convicted of a felony?

If yes, give dates and details of conviction ("An applicant for employment with a sealed record on file with the commissioner of probation may answer 'no record' with respect to any injury herein relative to prior arrests, criminal court appearances or convictions. In addition, any applicant for employment may answer 'no record' with respect to any inquiry relative to prior arrests, court appearances and adjudications in all cases of delinquency or as a child in need of services which did not result in a complaint transferred to the superior court for criminal prosecution.")

EMPLOYMENT DESIRED

Position(s) applied for

Rate of pay desired $

Date available

Are you presently employed ?

If so, may we inquire of your current employer?

Referral source: Advertisement (Please name the publication)

Referral

Walk in

Other

Were you previously employed by us ?

If yes, when