employment application
 

To apply by fax or mail, please print this form,
fill out and send it to either Oakland or Sacramento.

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Copenhagen Furniture Warehouse Showroom
6425 San Leandro Street
Oakland, California 94621

Fax: 510.777.1717
 

Copenhagen Furniture Warehouse Showroom
5252 Auburn Boulevard
Sacramento, California 95841

Fax: 916.332.2200

______________________________________________________________

APPLICATION FOR EMPLOYMENT

Please use pen and print clearly.

Check one or more Copenhagen careers you are applying for:

Sales, Sales Management and Customer Service positions require a work
schedule that includes weekdays, Saturdays, Sundays and holidays. Your
hours will vary and be scheduled sometime Monday-Sunday between 9:30 AM
and 6:30 PM.

bullet SALES
bullet SALES MANAGEMENT

Administration positions require variable hours that will be scheduled
sometime between 8 a.m. and 7 p.m., Monday-Friday.

bullet ADMINISTRATION
bullet CLERICAL
bullet CUSTOMER SERVICE
bullet HUMAN RESOURCES

Warehouse, Delivery, Assembly/Detailing and Repair positions require a work
schedule that includes weekdays, Saturdays, Sundays and holidays. Your
hours will vary and be scheduled sometime Monday-Saturday between 7:00
a.m. and 7:00 p.m., and Sundays/holidays between 11 a.m. and 6:00 p.m.

bullet WAREHOUSING
bullet DRIVER
bullet HELPER
bullet ASSEMBLER
bullet FINISHER
bullet SHIPPING/RECEIVING

Do you want to work: Part time   Full time

Name: ________________________________________________________

Street address:_________________________________________________

City, State & Zip:________________________________________________

Home phone number:____________________________________________

How long at the above address:____________________________________

Email address:__________________________________________________

Have you ever applied for employment with us before:__________________

Are you over 25 years old?____________ If not, how old:_____________

How did you find out about career opportunities at Copenhagen?

_______________________________________________________________

Education:

Name of high school attended:_____________________________________

Address:_______________________________________________________

Did you graduate? _______________________________________________

Name of college attended:________________________________________

Address:_______________________________________________________

Number of years attended:________________________________________

Majors:________________________________________________________

Grade point average:_____________________________________________

Did you graduate: _______________________________________________

Other education or training:

References:

Please list three persons other than relatives and former employers who have

known you for at least three years who can speak about your general

character.

Name:________________________________________________________

Home phone number: ____________________________________________

Work phone number: ____________________________________________
 

Name:________________________________________________________

Home phone number: ____________________________________________

Work phone number: ____________________________________________
 

Name:________________________________________________________

Home phone number: ____________________________________________

Work phone number: ____________________________________________

Physical Information:

Do you have any physical limitations or handicaps
that may limit your ability to perform the position applied for? ___________

If yes, what can be done to reasonably accommodate your limitations?

 

 

Employment Experience/Work History:

Start with your present or your last employer. If you need more space, use

the back of this form. If summer or part-time work, please indicate.

May we request a reference from your present employer? _______________

Name of Employer: ______________________________________________

Street Address: _________________________________________________

City, State & Zip: _______________________________________________

Phone number: _________________________________________________

Type of business: _______________________________________________

Name and title of supervisor: ______________________________________

Starting date & Date of Leaving: ___________________________________

Starting pay & Pay at Leaving: _____________________________________

Your title & Duties: ______________________________________________

Reason for leaving: ______________________________________________
 

Name of Employer: ______________________________________________

Street Address: _________________________________________________

City, State & Zip: _______________________________________________

Phone number: _________________________________________________

Type of business: _______________________________________________

Name and title of supervisor: ______________________________________

Starting date & Date of Leaving: ___________________________________

Starting pay & Pay at Leaving: _____________________________________

Your title & Duties: ______________________________________________

Reason for leaving: ______________________________________________
 

Name of Employer: ______________________________________________

Street Address: _________________________________________________

City, State & Zip: _______________________________________________

Phone number: _________________________________________________

Type of business: _______________________________________________

Name and title of supervisor: ______________________________________

Starting date & Date of Leaving: ___________________________________

Starting pay & Pay at Leaving: _____________________________________

Your title & Duties: ______________________________________________

Reason for leaving: ______________________________________________

Name of Employer: ______________________________________________

Street Address: _________________________________________________

City, State & Zip: _______________________________________________

Phone number: _________________________________________________

Type of business: _______________________________________________

Name and title of supervisor: ______________________________________

Starting date & Date of Leaving: ___________________________________

Starting pay & Pay at Leaving: _____________________________________

Your title & Duties: ______________________________________________

Reason for leaving: ______________________________________________

Is this a complete list of your employment:______________________

Typing Speed: ________ words per minute

List any other experience or skills that relate to the position
you want:

 

 

 

 

 

 

 

The following questions require at least a "yes" or "no" reply:

Convictions:

Have you ever been convicted of a felony? ___________________________

If yes, give details.
(A conviction will not necessarily disqualify you from employment.)

______________________________________________________________

Saturdays, Sundays, Holidays

All positions (except Administration) require a work schedule that includes
variable hours on weekdays, Saturdays, Sundays and holidays. Please review
the scheduling hours the specific position you are applying for requires - see
top of this form.

Are you able and willing to work such a schedule? _____________________

If not, list the days and hours you can work:

 

 

 

Legal Status to Work:

Can you, after employment, submit proof of
your citizenship or legal right to work in the United States? _____________

Please read carefully, initial each paragraph, and sign below.

______ I hereby authorize the Company, its agents, representatives or
affiliated companies (collectively "the Company") to investigate and verify all
information provided by me on this application or in support of my efforts to
obtain employment with the Company. I hereby authorize any prior employer
listed on this application and/or any educational entity listed on this
application to disclose to the company any and all letters, reports and other
information related to my work or educational record, without giving me prior
notice of such disclosure. In addition, I hereby release the Company, my
former employers, and educational entities listed on this application and all
other persons, corporations, partnerships and associations from any and all
claims, demands or liabilities arising out of or in any way related to such
investigation or disclosure.

______ I hereby certify all information provided by me on this employment
application and all other information provided by me in the course of applying
for employment at Copenhagen is truthful and accurate. I understand that if
any information provided by me on this employment application or any other
information provided by me in the course of applying for employment at
Copenhagen if found to be false, untruthful or misleading, that such will be
cause for immediate rejection of my application for employment. I further
understand that if I am hired as an employee of Copenhagen and at any time
thereafter it is discovered than any information provided by me on this
employment application or any other information provided by me in the
course of applying for employment at Copenhagen is found to be false,
untruthful or misleading, I will be subject to immediate termination from
employment. Notwithstanding the above, I also understand that if I am
offered and accept employment at Copenhagen, my employment will be
employment "at will," which may be terminated by myself or by Copenhagen
at any time with or without notice and with or without cause.

Signed: _____________________________ Date:____________________