MOTORS & DRIVES

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Employment Inquiry Form

Thank you for your interest in obtaining a position with Williams Distributing Kitchen & Bath. The following is a simple inquiry form to see if it is in your interest to take the time to come in and fill out our normal employment application and potentially interview for possible employment.

All information submitted will be held in strict confidence. No phone calls will be made to your current or past employers without first talking to you. Williams Distributing Kitchen & Bath is a drug-free workplace and will conduct a background check on all employee prospects before hiring.


Contact Information:
First Name
Last Name
Middle Initial
Address 1
Address 2
City
State/Province
Zip/Postal Code
Home Phone #
Personal Cell Phone #
E-mail
Confirm E-mail
Do you have a valid Driver's License? Yes    No
Type of Work Desired
Days / Hours Available
Education & Certifications:
High School
Number of years attended
Did you graduate Yes    No
Name and Location of School
Subjects Studied
College
Number of years attended
Did you graduate Yes    No
Name and Location of School
Subjects Studied
Trade or Business School(s)
Number of years attended
Did you graduate Yes    No
Name and Location of School
Subjects Studied
Current Certifications and Licenses
Have you ever been convicted of a felony?
If yes, please provide details
Employment History:
Company Name
Date From - Date To -
Starting pay rate $ Hourly   Monthly   Annually
Ending pay rate $ Hourly   Monthly   Annually
Duties
 
Reason for Leaving
Name of Supervisor
Supervisor's Title
Supervisor's Phone # or reason to not contact
Company Name
Date From - Date To  -
Starting pay rate $ Hourly   Monthly   Annually
Ending pay rate $ Hourly   Monthly   Annually
Duties
 
Reason for Leaving
Name of Supervisor
Supervisor's Title
Supervisor's Phone # or reason to not contact
Company Name
Date From - Date To -
Starting pay rate $ Hourly   Monthly   Annually
Ending pay rate $ Hourly   Monthly   Annually
Duties
 
Reason for Leaving
Name of Supervisor
Supervisor's Title
Supervisor's Phone # or reason to not contact
Additional Skills:
Other Skills
 
Special Training 

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