
employment
application
To apply by fax or mail, please print this form, download form as pdf version download adobe reader
Fax: 510.777.1717 Copenhagen Furniture Warehouse Showroom 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
Administration positions require variable hours that will be scheduled
Warehouse, Delivery, Assembly/Detailing and Repair positions require a work
Do you want to work:
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 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
The following questions require at least a "yes" or "no" reply: Convictions: Have you ever been convicted of a felony? ___________________________ If yes, give details. ______________________________________________________________ Saturdays, Sundays, Holidays All positions (except Administration) require a work schedule that includes 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 Please read carefully, initial each paragraph, and sign below. ______ I hereby authorize the Company, its agents, representatives or ______ I hereby certify all information provided by me on this employment Signed: _____________________________ Date:____________________
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