EMPLOYMENT APPLICATION

Transcription

1 EMPLOYMENT APPLICATION As part of our candidate selection process, Haggar Clothing Co. and its subsidiaries (collectively referred to as the Company, Haggar Clothing Co., or Haggar ) conducts thorough pre-employment background checks. To provide a safe and productive drug-free work environment for our Associates, a pre-employment substance abuse test is required. Please read this notice before completing our employment application. We are committed to providing a quality workplace with personnel policies and practices based on a high degree of mutual trust and respect. We value honesty and integrity. Falsification or misrepresentation of information on this application or any other employment-related documents will be considered grounds for immediate termination. For your application to be properly evaluated, it is essential that all questions be answered carefully, completely and honestly. Feel free to add any additional information that will help us in placing you where you are best qualified. AN EQUAL OPPORTUNITY EMPLOYER Haggar Clothing Co. does not discriminate in its hiring practices with regard to race, religion, color, ethnicity, national origin, sexual orientation, disability of otherwise qualified individuals, sex, age, off-duty conduct protected by law, workers compensation claims, or obligation as a member of the National Guard or Reserve component of the Armed Forces. To protect our Associates from exposure to environmental tobacco smoke, smoking is prohibited inside of all Haggar Clothing Co. facilities. This application will be retained in our current file for active consideration for this position for 90 days. Name: Date of Application: 1

2 AN EQUAL OPPORTUNITY EMPLOYER Haggar Clothing Co. does not discriminate in its hiring practices with regard to race, religion, color, ethnicity, national origin, sexual orientation, disability of otherwise qualified individuals, sex, age, off-duty conduct protected by law, workers compensation claims, or obligations as a member of the National Guard or Reserve component of the Armed Forces. PERSONAL INFORMATION FOR EMPLOYMENT APPLICATION Print Name: Last First Middle Other Name(s) Used Present Address: Number & Street City State Zip Home Phone Number: ( ) Cell Phone Number: ( ) Driver s License: State DL Number Address: Are you eligible to work in the United States? Are you at least 18 years of age or older? (If no, you may be required to provide authorization to work.) Have you ever been terminated from employment or asked to resign by an employer? If yes, please provide company names and details. AUTHORIZATION & SIGNATURE The information I have provided in this application is true and correct to the best of my knowledge. My signature below confirms that: I authorize Haggar Clothing Co. to confirm any of the information provided, obtain employment references and personal history and/or other background information. Further, I release all parties and persons from any liability that may result from furnishing such information to Haggar, as well as from the use or disclosure of such information by you to the designated reporting companies. I understand that any misrepresentation, falsification or material omission of information on this application may result in denial of my employment or termination of my employment if I am hired. I agree that the employment relationship can be terminated at will either by me or by Haggar, with or without cause, and with or without notice, at any time. By signing this application, I verify that I have read, understood and accepted all of the information and instructions in this application. Applicant Signature: Date: 2

3 EMPLOYMENT EXPERIENCE Please list your job history, including self-employment, temporary work and periods of unemployment. (Request an additional sheet if space provided is insufficient.) Begin with your PRESENT or MOST RECENT EMPLOYER. If you were ever employed in any position under a different name, give the name used in each position. Name of firm or organization Title/Position From To Street Address Telephone Number: Name & Title of Immediate Supervisor City & State Zip Code Reason for Leaving Salary or Rate Description of Duties Starting $ per Final $ per Name of firm or organization Title/Position From To Street Address Telephone Number: Name & Title of Immediate Supervisor City & State Zip Code Reason for Leaving Salary or Rate Description of Duties Starting $ per Final $ per Name of firm or organization Title/Position From To Street Address Telephone Number: Name & Title of Immediate Supervisor City & State Zip Code Reason for Leaving Salary or Rate Description of Duties Starting $ per Final $ per (PLEASE CONTINUE TO BACK PAGE IF YOU WISH TO LIST MORE) POSITION INFORMATION The position you are applying for: Date available to begin work: Salary/Rate Expected $ per Type of employment desired: Full-time Part-time (Specify days and hours) Are you willing to work: Days? Afternoons/Evenings? Nights? Weekends? Overtime? (Work schedules vary with location and position and will be explained by the interviewer. Although the Company will try to accommodate schedule preferences, it reserves the right to alter schedules based on business needs.) Have you ever worked for Haggar in the past? If yes, please give the dates that you worked and the position that you held. State your name at that time, if different from present name. 3

4 EDUCATION Name and Location of School Did You Degree/ Major Minor Grade Graduate? Diploma Subject Subject Average High School or GED College(s) Graduate School Technical, Business, Military and Other Now attending Undergraduate School Graduate School Other SKILLS AND ADDITIONAL INFORMATION Typing (correct wpm) 10-Key (Indicate kph) List the software packages in which you are proficient: List other technical skills and/or certifications: Machinery Operated: Forklifts Operated: Mechanical Specialty: Certified? Do you have any foreign language abilities (other than English) that might help you perform the job(s) for which you are applying? If yes, please explain: Reading Writing Speaking Briefly describe any other details about your job qualification which should be considered. Include special skills, honors and awards, seminars attended, military training, and professional organizations (exclude religious, political, ethnic, racial or labor organizations). Request an additional sheet if necessary. REFERENCES (please provide at least 2 business references) Name Telephone Company Years Known Business/Personal ( ) ( ) ( ) If currently employed, may we contact your employer or supervisor now for a reference? PLEASE CONTINUE TO LAST PAGE. 4

5 READ CAREFULLY BEFORE SIGNING Fair Credit Reporting Act Notification and Authorization I certify that all statements and information I have furnished in this Application are true and correct. I agree to conform to the policies and procedures of Haggar Clothing Co. If the Company rejects this Application as a result of information learned from a credit bureau or other report of my credit history, I may obtain the information to which I am entitled under the Fair Credit Reporting Act (if I ask for such information in writing within a reasonable time). I understand that this Application is not an offer of employment, and that offers of employment will be made, without specific duration. I have the right to terminate my employment for any reason or no reason whenever I choose, and I understand the Company reserves the same right. I acknowledge my employment is employment-at-will. If I become an employee of Haggar Clothing Co., or one of its related companies, I agree in return for employment that I will not disclose to anybody outside the Company or use for my own benefit any confidential information I obtain during my employment, without first obtaining the written permission of Haggar Clothing Co. or the related company by which I am employed. By signing the release below, I hereby authorize the Company to contact any and all corporations, former employers, credit agencies, educational institutions, law enforcement agencies, city, state, county, and federal courts and military services to obtain information about my background including, but not limited to, information about employment, education, consumer credit history, driving record, criminal record and general public records history, and I authorize release of such information to Haggar Clothing Co. or its related companies. I authorize investigation into my background, employment records and references and agree that falsification of statements or information in this Application entitles the Company to withdraw my employment offer or terminate my employment. I release from all liability all persons, companies, schools supplying such information. I indemnify Haggar Clothing Co. and its related companies, including officers, directors and employees of same, against any liability which may result from making such requests. This release shall remain in effect for the length of my employment. I understand that I may have a right to request additional disclosures regarding the nature and scope of the investigation I believe to the best of my knowledge that all information I have provided is accurate, true and correct, and I fully understand the terms of this release. Name: Other names used: Date: 5

6 CONFIDENTIAL APPLICANT TRACKING INFORMATION The information requested below is strictly for the purpose of statistical information used to comply with the Affirmative Action requirements, and will not be used as a factor in making decisions regarding employment. THIS INFORMATION IS VOLUNTARY AND IS FOR REPORTING USE ONLY. Position Applied for: Social Security #: Male: Female: Date of Birth: RACE Caucasian Black American Indian/Alaskan Native Asian/Pacific Islander Hispanic RECRUITING SOURCE Where did you learn of this position? Newspaper Agency Associate Friend Website Other Identify by name 6