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We sell wholesale to the public.
Capaccio Bros. Furniture guarantees the highest quality at the lowest price.
Employment Application
How were you referred
to Capaccio Bros.?
First Name*
Last Name*
Address*
City*
State*
Zip*
Phone*
ex: 8475551234
Mobile/Pager/Other
Email*
Available to Start*
SSN*
ex: 111223333
Salary Requirements
If you are under 18 years of age,
can you provide a work permit?
Yes
No
If no, please explain:
Have you worked for us before?
Yes
No
If yes, when?
Are you a US Citizen?
Yes
No
Are you legally allowed
to work in the United States?
Yes
No
Type of employment
Full Time
Part Time
Temporary
Seasonal
Have you ever plead guilty,
no contest, or been convicted
of a crime?
Yes
No
If yes, please give dates & details:
Answering yes to these questions does not constitute an automatic rejection for employment. Date of the
offense, seriousness and nature of the violation, rehabilitation and position applied for will be considered.
Drivers License Number
(If applicable to position)
State
Summarize Skills/Special Qualifications
Previous Employment
Begin with most recent position.
Position 1:
Employment
From
To
Position(s) Held
Company
Address
City
State
Zip
Phone
Supervisor
Title
Responsibilities
Starting Salary & Title
Ending Salary & Title
Reason for Leaving
May we contact this
employer for references?
Yes
No
Position 2:
Employment
From
To
Position(s) Held
Company
Address
City
State
Zip
Phone
Supervisor
Title
Responsibilities
Starting Salary & Title
Ending Salary & Title
Reason for Leaving
May we contact this
employer for references?
Yes
No
Position 3:
Employment
From
To
Position(s) Held
Company
Address
City
State
Zip
Phone
Supervisor
Title
Responsibilities
Starting Salary & Title
Ending Salary & Title
Reason for Leaving
May we contact this
employer for references?
Yes
No
I certify my answers are true and complete to the best of my knowledge. I authorize Capaccio Bros. to make such investigations and inquiries of my personal, employment, educational, financial and other related matters as may be necessary for an employment decision. I hereby release employers, schools or individuals from all liability when responding to inquiries in connection with my application.
In the event I am employed, I understand that false or misleading information given in my application or interview(s) may result in discharge.
By submitting this application, I understand I am electronically signing this application upon submission on September 04, 2010.
