Gordy´s County Market
Gordy´s
True Value
Employment
Application
Application For Employment

An Equal Opportunity Employer

In order for your application to be properly evaluated, it is essential that all of the following questions be answered carefully and completely.

Location Desired
County Market True Value
 
Personal Information
Position Desired  
First Name Last Name M.I.
Address Line #1
Address Line #2
City State Zip
Phone #1 Phone #2
How referred to us? (Ad, Friend, Agency - Please Name)
Salary Expected (Hourly or Monthly)
Education
School Name of School Main Classes Number of Years Did you graduate?
Average High School Grades College G.P.A.
 Honors and Activities
 250 Character Maximum     characters left
Employment History #1

Start with your most recent employer and provide 3 years of employment history

Company Name Address Telephone
Supervisor
Employment Dates From: To:
Salary Start Ending
Position
Brief Description of Your Responsibilities
250 Character Maximum     characters left
Reason for Leaving:
Employment History #2
Company Name Address Telephone
Supervisor
Employment Dates From: To:
Salary Start Ending
Position
Brief Description of Your Responsibilities
250 Character Maximum     characters left
Reason for Leaving:
Employment History #3
Company Name Address Telephone
Supervisor
Employment Dates From: To:
Salary Start Ending
Position
Brief Description of Your Responsibilities
250 Character Maximum     characters left
Reason for Leaving:
References

Give three references not related to you.

Name Address Telephone
Availability
Shift Preference (choice)
   
   
 
General Information

Please note other facts or skills in your background
that might be helpful in evaluating your qualifications:

   250 Character Maximum     characters left

Do you have any other work which will continue if employed by us?

Have you previously applied for work with us?

Read Carefully Before Submitting

I certify that the answers I have given in this application are true and accurate to the best of my knowledge, and understand that any false or misleading answers or any omission or concealment of facts will disqualify me from consideration for employment or will result in my immediate discharge.

In making this application for employment it is understood that an investigation may be made whereby information is obtained from former employers, State court records, and others. I hereby authorize all employers, educational institutions which I have attended, credit agencies, and references to give Gordy´s IGA and Gordy´s True Value Hardware Hank any and all information concerning my previous employment and any pertinent information they may have (personal or otherwise). I also authorize Gordy´s to use means to do a state background check, which would include court records and conviction/felony documents. I hereby release all parties from all liability for any damage that may result from furnishing same to you. I understand that if such investigation should reveal a false statement or derogatory reports, I will be disqualified from employment or will be subsequently dismissed.

I agree to conform to the rules and regulations of the company and, if employed, I understand and agree that my employment is at will. I also understand and agree that my employment may be terminated at any time with or without just cause. Any agreement contrary to the above must be in writing, must expressly state that it is a contract for a specified term, and must be signed by the president of the company.

I am willing to take a pre-employment physical which does include drug/alcohol testing and agree that my initial or continued employment may be contingent on the results.

Review Above Information & Submit to Gordy´s

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