Aubuchon Hardware Job Application Form

To apply for any vacancy at Aubuchon Hardware store, interested individuals must fill out this form and then submit it to the store manager.

Extracted Text for Proper Search

AUBUCHON 
HARDWARE 	
95 Aubuchon  Drive 
Westminster,  MA 	
01473-0473 	STORE STAMP 	
EMPLOYMENT 	APPLICATION 
FOR  GROUP  "A", "B", 
& 	"C" CANDIDATES 	
On 	Our 	Team,  Everyone  Is Important 	... 	
This 	is 	why  Aubuchon  Hardware strives to provide  everyone  with a chance  to develop 	and 	excel. 	We 	seek  to employ  the 
best  qualified  individuals 	
for 	our positions  and provide  equal opportunity 	for 	advancement  to all  employees 	in 	a manner 
that  does  not discriminate  against any person  because 	
of 	race, gender,  color, religion,  sexual orientation,  age, national 
origin,  marital  status, disability,  citizenship  status, and any other  characteristic  protected by law. 	
FULL 	TIME 	SALES/MGR. 	TRAINING 	
PERSONAL 	INFORMATION 	
Name  (first) 	(middle  initial) 	
Address  City 	State 	
Are 	you 	18 years 
of age  or over? 	DYes 	DNo 	
Have  you ever  been  convicted  of a 	felony? 	DYes 	Conviction  is not 	necessarily 	a bar  to 	employment  (See 	page 4) 	DNo 	
Only 	U.S. 	citizens  or 	aliens 	who have  a 	legal 	right to work  and remain  permanently  in the U.S. 	are 	eligible 	for 	employment. 	
Referred  to Aubuchon  Hardware by: 	
PART-TIME  SALES 	
D 	GROUP"C" 	
PART-TIME 	NON-SALES 	
(last) 
Social 	Security # 	-	-	
Zip 
Home 	Telephone 	# 	- -	
Work 	Telephone 	# 	-	-	
If yes, 	please explain: 	
Can you,  after 	employment, 	submit  verification  of your 	legal 	right  to work 	DYes 	in the  United  States?  Verification 	of your 	legal 	right to work  in the 
United  States 	
will 	be required  after 	employment. 	DNo 	
In case of emergency,  notify the 	following 	person 
Name  Relationship 	
Telephone# 	
-	
*Have 
you ever  worked  for us before? 	DYes 	DNo 	
If yes,  at what  store 	location: 	What  Year? 	I 
I 	
*Do you  have  a 	relative 	or friend  working  in our  Company? 	DYes 	DNo 	
If yes, 	give  name  and store 	location: 	
*MANAGER 	NOTE: 	Call  Personnel 	Office  before  hiring if answer  is yes  to either  of the  above  two questions. 	
9/01/2000

EDUCATION 	
ATTENDED 	LAST 	GRADE 	OR DIPLOMA 
COURSE! 
SCHOOL 	NAME  AND 	LOCATION 
YR. YR. 
LEVEL 	COMPLETED 	OR 	DEGREE 	MAJOR 	From: 	To: 	
High 	School 
College, 	
Business 
Vocation or Other 
Training 
List  any  specific 	
skills, 	interests/hobbies, 	or areas  of 	knowledge 	that might  be job  related  that may  be considered  in evaluating  your qualifications  for 	employment 
EMPLOYMENT 	RECORD 	
Begin with your  most  recent 	employer, 	or present  employer. 	Include 	any self-employed 	or unemployed  periods. Optional: 	military 	service 	(Not country 	of 	service). 	You 	must 	account 	for 	the 	past 	three  (3) years 	or since  completing  school, whichever  is shorter. 	You 	may  include  work performed  on a 
volunteer  basis. 	
COMPANY 	NAME: 	TEL# 	DATES EMPLOYED 	(MO./YR.) 	POSITION/  TITLE: 
FROM: 	
TO: 	
ADDRESS:  STARTING 	RATE 	OF 	PAY: 	REASON 
FOR LEAVING 	(BE 	SPECIFIC) 
SUPERVISOR'S 	
NAME  AND 	TITLE:  LAST 	RATE 	OF 	PAY: 	
RESPONSIBILITIES: 
COMPANY 	
NAME: 	TEL# 	DATES  EMPLOYED  (MO./YR.)  POSITION/ 
TITLE: 
FROM: 
TO: 	
ADDRESS:  STARTING 	RATE 	OF 	PAY: 	REASON 
FOR LEAVING 	(BE 	SPECIFIC) 
SUPERVISOR'S 	
NAME  AND 	TITLE:  LAST 	RATE 	OF 	PAY: 	
RESPONSIBILITIES: 
COMPANY 	
NAME: 	TEL# 	DATES  EMPLOYED  (MO./YR.)  POSITION/ TITLE: 
FROM: 
TO: 	
ADDRESS:  STARTING 	RATE 	OF 	PAY: 	REASON 
FOR LEAVING 	(BE 	SPECIFIC) 
SUPERVISOR'S 	
NAME  AND 	TITLE:  LAST 	RATE 	OF 	PAY: 	
RESPONSIBILITIES: 
ARE 	YOU 
CURRENTLY  EMPLOYED: 	DYes 	DNo 	D Temporary  Layoff  D Permanent  Layoff 	
MAY 	WE 	CONTACT 	ALL THE 	EMPLOYERS  LISTED ABOVE? 	DYes 	DNa 	
IF NOT, 	WHICH ONES SHOULD 	WE 	NOT CONTACT 	AND 	WHY? 	I HOW  MANY  DAYS HAVE 	YOU 	MISSED  DURING 	THE 	PAST 	12 MONTHS? 
HAVE YOU 	
EVER  BEEN TERMINATED 	OR 	ASKED  TO RESIGN  FROM ANY JOB? 	DYes 	D No. 	IF YES.  PLEASE  EXPLAIN  CIRCUMSTANCES: 
PLEASE  EXPLAIN  FULLY ANY GAPS  IN YOUR  EMPLOYMENT  HISTORY:

NECESSARY 	OCCUPATIONAL 	QUESTIONS: 	
If your 	application 	is favorably 	considered, 	on 	what 	date 	would 	you 	be 	available 	to work? 	
Are 	you 	willing 	to travel 	for Store 	Remodelings, 	Year-End 	Inventory, 	or Promotion 	to a Store 	as 	a Manager?  DYes 	DNo 	
Do 	you 	have 	product 	knowledge 	in: 	(Check 	if "Yes) 	D Plumbing 	D Electrical 	D Paint 	DTools 	D 
Outdoor/Indoor 	Seasonals 	
Can 	you 	unload 	a truck  of hardware, 	related 	items, 	move 	same 	items  around  store 
or  to a customer's 	car, 	with 	some 	boxes 	weighing 	up 	to 80 	lbs.? 	DYes 	DNo 	
Can 	you 	climb 	and  work  from a 	ladder? 	DYes 	DNo 	
Can 	you 	continually 	move 	cases  of hardware 	I paint?  DYes 	DNo 	
Outside selling 	may 	be 	required, 	particularly 	in paint products? 	Do 	you 	have 	a valid 	driver's 	license? 	DYes 	DNo 	(Required  for 	
Are 	you 	willing 	to do outside 	sales  calls 	one 	(1) 	day 	per week  after a 	full 	training  program?  DYes 	DNo 	Assistant 
Managers) 	
Are 	you 	willing 	to  take  a short 	math 	quiz 	to qualify 	for 	employment? 	DYes 	DNo 	
CONDITIONS 	OF 	EMPLOYMENT 	
Aubuchon  Hardware sets high  standards  for its 	employee.  Compliance 	with these  standards 	is a Condition  of 	Employment. 	You 	need 
to 	
carefully 	consider  these requirements  before accepting  a position  with us. As an 	employee, 	you 	will 	be expected  to 	comply fully 	with 
these  work standards  as 	
well 	as other  work 	rules 	which 	will 	be described 	in full 	if you  are hired. 	
SAFETY 
W.E. 	Aubuchon 	Co., 	Inc. 	fixes  the 	responsibility 	on each 	employee 	to abide 	by 	safety 	regulations 	of  State  and 	Federal 
laws, 	safety  procedures  of the 	Company 	and  of your  own 
common  sense to 	appropriately 	provide  a safe  and hazard 
free  store  environment.  View videos,  read provided  safety 	
material,  including 	the Aubuchon  Equipment 	Manual 	and 
Aubuchon 	OSHA  Manual, 	and communicate  anything that 
presents  a hazard. 	
PERSONAL 	APPEARANCE 	
Maintain  a 	business-like  professional 	appearance (dress and 
grooming)  according to our 	Policy 	on 	Personal 	Appearance 
and  Attire 	in our 	Policy 	and 	Procedure  Manual. 
Always 	
report  to work  when 	scheduled 	and 	on 	time. 
store  before  your 	scheduled 	shift when  sick. 	
Would 	you be 	able 	to comply 	with 	all 	the requirements  as 	listed? 	
DAYS 	AND 	HOURS 	OF 	WORK 	
• 7 Day 	Retailing;  normally 	work 5 days  per week 	
• Full 	Time,  Group 	"A" 	47 hours  per week 	
• Part 	Time, 	Sales, 	Group 	"B" 	normally  24-32 hours per week 	
• Part 	Time, 	Non-Sales, 	Group 	"C"  normally  15-20 	hours per 
week 	
• Overtime 	-required  to meet  extraordinary 	scheduling 	
CUSTOMER 	SERVICE 	
Treat  customers  with an exceptionally 	friendly 	attitude  at 	all 	times and under 	all 	circumstances. 	
We 	maintain  a smoke-free,  drug-free, and 	alcohol-free 	environment  per our 	Policy 	and 	Procedure  Manual. 	
DYes 	DNo 	
If "no", 	or  if you  have  concerns  about being 	able 	to comply 	with any of these  requirements, 	please  explain: 	DYes 	DNo

SPECIAL 	EMPLOYMENT 	NOTICES 	
AUBUCHON HARDWARE 	IS AN 	EQUAL 	OPPORTUNITY 	EMPLOYER AND 	DOES NOT DISCRIMINATE  IN 	EMPLOYMENT 	ON 	THE 	BASIS 
OF 	RACE, 	COLOR, 	CREED, 	SEX,  NATIONAL  ORIGIN, 	AGE, 	RELIGION,  DISABILITY  OR 	VETERAN 	STATUS. 	A DISABLED APPLICANT 	MAY REQUEST  A 	REASONABLE ACCOMMODATION  IN ORDER 	TO 	PERFORM 	THE 	ESSENTIAL  FUNCTIONS 	OFTHE 	JOB. 
IT  IS 	
UNLAWFUL 	IN 	MASSACHUSETTS 	TO 	REQUIRE  OR ADMINISTER 	A LIE 	DETECTOR 	TEST  AS 	A CONDITION  OF 	EMPLOYMENT 	OR CONTINUED 	EMPLOYMENT.  AN EMPLOYER 	WHO  VIOLATES  THIS 	LAW 	SHALL 	BE SUBJECT 	TO CRIMINAL  LIABILITIES 	AND 	CIVIL PENALTIES. 	
STATEMENT 	
I CERTIFY 	THAT  THE 	FACTS  SET FORTH 	IN 	MY 	APPLICATION 	ARE  TRUE  AND COMPLETE. 	I UNDERSTAND  THAT, 	IF EMPLOYED, 	FALSE STATEMENTS  OR OMISSIONS  ON THIS  APPLICATION  WILL 	BE 	GROUNDS FOR IMMEDIATE  TERMINATION 	OF 	MY 	EMPLOYMENT. 	I AUTHORIZE 	AUBUCHON  HARDWARE 	TO 	AT 	ANY 	TIME PROCURE 	A CONSUMER  REPORT ON 	ME. 	I AUTHORIZE 	AUBUCHON  HARDWARE 	TO 	CHECK 	ALL 	PERSONAL 	AND EMPLOYMENT  REFERENCES AND 	TO 	VERIFY 	ALL 	INFORMATION I 	HAVE 	INCLUDED IN THIS  APPLICATION  FORM. 
I 
FURTHER  UNDERSTAND  THAT 	I HAVE THE 	OPTION 	TO 	TERMINATE 	MY EMPLOYMENT 	RELATIONSHIP  WITH 	AUBUCHON 
HARDWARE, 	WITH  OR WITHOUT  CAUSE 	AND 	WITH OR WITHOUT  NOTICE 	AT 	ANY 	TIME, 	AND AUBUCHON  HARDWARE 	RETAINS 	THE 	SAME RIGHTS.  I 	UNDERSTAND  THAT 	IF I 	AM 	HIRED, 	ALL 	BENEFITS,  POLICIES, PRACTICES, 	AND 	PROCEDURES 	MAY 	BE 
CHANGED 	BY 	AUBUCHON  HARDWARE AT ANY 	TIME  WITH  OR WITHOUT  NOTICE. I 	UNDERSTAND  THAT 	THIS APPLICATION, 	AUBUCHON  HARDWARE'S 	POLICIES, PRACTICES, 	AND 	PROCEDURES, 	AND 	ALL 	OTHER COMMUNICATION  DISTRIBUTED 	TO 	ME 	BY AUBUCHON  HARDWARE,  WHETHER 	WRITTEN OR 	VERBAL, 	BEFORE HIRE OR 	AFTER 	I AM EMPLOYED, 	DOES  NOT 
CONSTITUTE  OR 	SUPPLEMENT  ANY CONTRACT 	OF 	EMPLOYMENT. 	I FURTHER  UNDERSTAND  THAT 	NO 	AGENT, EMPLOYEE 	OR 	REPRESENTATIVE  OF 	THE 	COMPANY HAS 	THE 	AUTHORITY  TO 	MAKE ANY 	PROMISES  OR 	AGREEMENT  CONTRARY 	TO 	THE 	FOREGOING, UNLESS IT IS  IN WRITING 	AND 	SIGNED 	BY  THE 	PRESIDENT  OF 	THE COMPANY. 	
IMMIGRATION  REFORM 	AND 	CONTROL 	ACT 	OF 	1986 	
I UNDERSTAND  THAT, 	IF HIRED,  I WILL 	BE 	REQUIRED 	TO 	OFFER  DOCUMENTATION  PROVING 	MY 	IDENTITY 	AND 	MY 	ELIGIBILITY 
TO  WORK  IN 	THE 	UNITED  STATES, 	AS 	REQUIRED 	BY THE 	IMMIGRATION  REFORM 	AND 	CONTROL 	ACT 	OF 	1986. 	I ALSO 	UNDERSTAND  THAT MY 	CONTINUED 	EMPLOYMENT 	IS CONTINGENT  UPON 	MY 	PROVIDING 	THE 	NECESSARY DOCUMENTATION 
WITHIN 	THE 	PRESCRIBED  TIME 	FRAME. 	
THIS APPLICATION  HAS 	BEEN READ  BY ME 	IN ITS  ENTIRETY. 	
Applicant's Signature------------------------------	Date 	__________ 	_ 	
*NOTE: 	AN 	APPLICATION 	FOR 	EMPLOYMENT 	IN MASSACHUSETTS  WITH 	A SEALED RECORD 	ON 	FILE WITH 	THE 	COMMISSIONER  OF PROBATION 	MAY 	ANSWER  "NO 	RECORD"' 	WITH RESPECT  TO ANY  INQUIRY  HEREIN RELATIVE  TO PRIOR  ARRESTS,  CRIMINAL COURT APPEARANCES, 	OR 	CONVICTIONS. 	AN 	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. 
(This application  is considered  active for 	60 days from the above  date.) 	
STORE 	MANAGER'S 	USE 	ONLY 	
Date of Applicant's  Interview: 
Hired 	
___ 	_  Not Hired 	_______ 	_ 	
STORE 	MANAGER'S 	INSTRUCTIONS 	
For 	HIRED 	applicants,  send this application 	along 	with 	all 	other 	payroll 	forms  to Home 	Office, 	Attention 	Payroll 	
Department. 
For 	
all  NON-HIRED 	applicants,  send their applications  via Distribution  Center delivery  truck every  three (3) months. 
Attention 	Payroll 	Department.