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Basic Information
First Name
Last Name
Phone
E-mail
Address
City
State
ZIP
*Are you over 18?
If no, Birth Month
Birth Day
Birth Year
Drivers License Information
If the position you're applying for requires a drivers license, please fill in the
following fields.
Drivers License Number
State Issued
Other Information
*Are you legally authorized to work in the United States?
*Have you ever been convicted*of a felony?
*(Conviction will not necessarily disqualify an applicant from employment)
Employment Desired
Position Applied For
*Company
City
Start Date
*Have you applied with Schierl Companies before?
*Have you previously been employed by Schierl Companies?
If yes, why did you leave?
Wage Desired?
*Hourly or Annually
*Do you have any immediate family employed in a supervisory position
at Schierl?
If yes, where?
Availability
*What type of schedule are you seeking?
*Ideal number of hours per week?
Hours Available
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Sunday
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Monday
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Tuesday
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Wednesday
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Thursday
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Friday
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Saturday
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From
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To
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High School Education
High School Name
Location (city, state)
Last Year Completed
Graduated?
GPA
Higher Education/Technical School
School Name
Location (city, state)
Last Year Completed
Graduated?
GPA
Degree/Major/Specialty
Employment History #1
Please list your last three employers (including Military Service) beginning with
the most recent.
Employment Dates
Employer Name
Address
Wage & Bonuses
Position
Reason for Leaving
Supervisor
Phone
May we contact for reference?
Employment History #2
Employment Dates
Employer Name
Address
Wage & Bonuses
Position
Reason for Leaving
Supervisor
Phone
May we contact for reference?
Employment History #3
Employment Dates
Employer Name
Address
Wage & Bonuses
Position
Reason for Leaving
Supervisor
Phone
May we contact for reference?
Employment Gaps
Please explain any gaps in employment below:
Employment Reference #1
If you did not list supervisors as references above, please list 3 other work references
or other references that can vouch for your work ethic and experience.
Name
Business
Position
Relationship
Years Acquainted
Phone
Employment Reference #2
Name
Business
Position
Relationship
Years Acquainted
Phone
Employment Reference #3
Name
Business
Position
Relationship
Years Acquainted
Phone
Other Employment Questions
Please tell us anything else about why we should consider you to
be a member of one of our Team Schierl teams:
How did you learn about this position?
If you were referred by a current Team Schierl Associate, please
tell us who referred you and their location.
*How many job changes have you had in the past 24 months?
*Have you ever been fired or asked to leave a job?
*In the past 12 months, how many shifts were you late for?
*Team Schierl may conduct pre-employment, random and reasonable cause
drug testing. Are you willing to comply with this if requested?
*In the last year of work, have you missed more than 3 days, not
counting approved leaves of absence, holidays or vacations.
*Please indicate the number of years you've used a cash register.
Certification & Release
I certify that all the information submitted by me on this application is true and
complete. I understand that if any false information, omissions or misrepresentations
are discovered, my application may be rejected and if I am employed, my employment
may be terminated at any time.
I also release Team Schierl Companies from any and all liability for their acts
performed in good faith and without malice in connection with evaluating my application,
credentials and qualifications. These checks include but are not limited to: verification
of previous employment, education and criminal background checks.
I understand that if I am hired, either party may terminate my employment at any
time, with or without cause, with or without notice.
If you agree, type "AGREE" in the box below.
Submit Form
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