EMPLOYMENT OPPORTUNITIES

Looking for employment opportunities with Central Indiana Hardware? CIH is always looking for people experienced in Division 8 business. The quickest way to apply for employment is to use the online form below. However, you may also forward your resume to: Central Indiana Hardware, Human Resources Dept., 9190 Corporation Drive, Indianapolis, IN 46256.

PERSONAL INFORMATION

First Name:	Middle Initial:	Last Name:
Phone #:	Email:
Address:	State:
City:	Zip Code:

DETAILS

Social Security Number (voluntary)
Best time to contact you at home is:	AM PM
Have you ever filed an application with us before?	YES NO If yes, give date:
Are you currently employed?	YES NO
Date available for work:
Desired salary range:
When are you available for work? (fill out below)

Full Time	Shift: 1 2 3
Part Time	Time: Mornings Afternoon Evenings
Temporary	Dates:

Can you travel if a job requires it? YES NO

EDUCATION

School	Name & Address of School	Course of Study	Years Completed	Diploma/Degree
High School
Undergraduate College
Graduate College
Other (Specify)

ADDITONAL INFORMATION

State any additional information you feel may be helpful to us in considering your application, including any job related in the U.S. Military.

EMPLOYMENT EXPERIENCE

Start with your present or last job, include any job-related military service assignments and volunteer activities. Exclude organizations which indicate race, color, religion, gender, national origin, disabilities or other protected status.

Employer		Starting/Present Job Title
Supervisor		Telephone Numbers:
Reason for Leaving?
Address
May we contact?	YES NO

Employer		Starting/Present Job Title
Supervisor		Telephone Numbers:
Reason for Leaving?
Address
May we contact?	YES NO

Employer		Starting/Present Job Title
Supervisor		Telephone Numbers:
Reason for Leaving?
Address
May we contact?	YES NO

REFERENCES

Name	Phone Number	Best Time To Call	Occupation

APPLICANT'S STATEMENT

I certify that answers given herein are true and complete.

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless an authorized executive of this organization specifically acknowledges such change in writing.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the Employer.

E-Signature:

Date: