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