Join Our Team! "*" indicates required fields Applicant InformationApplicant Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone*Email* Date of Application* MM slash DD slash YYYY Employment PositionPosition(s) applying for:* How did you hear about this position?* What days are you available for work?* If needed, are you available to work overtime?* On what date can you start working if you are hired?* MM slash DD slash YYYY Do you have reliable transportation to and from work?* Yes No Salary desired:* Personal InformationHave you ever applied to or worked for Ozark Stove And Chimney before?* Yes No If yes, when? Do you have any friends, relatives, or acquaintances working for Ozark Stove And Chimney?* Yes No If yes, state name & relationship: Are you 18 years of age or older?* Yes No Will you consent to a mandatory controlled substance test?* Yes No Are you a U.S. citizen or approved to work in the United States?* Yes No What document(s) can you provide as proof of citizenship or legal status?* Do you have any condition which would require job accommodations?* Yes No If yes, please describe accommodations required below.Have you ever been convicted of a criminal offense (felony or misdemeanor)?* Yes No If yes, please state the nature of the crime(s), when and where convicted and disposition of the case:Job Skills/QualificationsPlease list below the skills and qualifications you possess for the position for which you are applying:*(Note: Ozark Stove And Chimney complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. It is possible that a hire may be tested on skill/agility and may be subject to a medical examination conducted by a medical professional.)Education and TrainingHigh SchoolName Location (City, State) Year Graduated Degree Earned College/UniversityName Location (City, State) Year Graduated Degree Earned Vocational School/Specialized TrainingName Location (City, State) Year Graduated Degree Earned MilitaryAre you a member of the Armed Services? Yes No What branch of the military did you enlist? What was your military rank when discharged? How many years did you serve in the military? What military skills do you possess that would be an asset for this position?Previous EmploymentEmployer Name Job Title Supervisor Name Employer Address Street Address City State / Province / Region ZIP / Postal Code Employer PhoneDates Employed Reason for Leaving Employer Name Job Title Supervisor Name Employer Address Street Address City State / Province / Region ZIP / Postal Code Employer PhoneDates Employed Reason for Leaving Employer Name Job Title Supervisor Name Employer Address Street Address City State / Province / Region ZIP / Postal Code Employer PhoneDates Employed Reason for Leaving ReferencesPlease provide 3 personal and professional reference(s) below:Name* Contact Info* Name* Contact Info* Name* Contact Info* Consent*AT-WILL EMPLOYMENT The relationship between you and the Ozark Stove And Chimney is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or the Ozark Stove And Chimney. No representative of Ozark Stove And Chimney has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will," and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and either our Executive Vice-President/Chief Operations Officer or the Company's President. I agree.Date* MM slash DD slash YYYY Δ
