HFI Employment Application

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HFI Employment Application

We are an equal opportunity employer and will not unlawfully discriminate on the basis of race, color, sex, national origin, age, marital or veteran status, or in the presence of a medical condition or handicap, or other protected status.

Date of Application

09/25/18

Have You Applied to Hughes Furniture Before?

Yes No

Position:

Production Manager

Personal Last Name: First Name: Middle In: Current Address: Social Security Number: Daytime Phone Number: City: State: Zip Code:

Employment What position are you applying for? Can you work overtime?

Yes No

Can you work any days of the week?

Yes No

Can you work any shift?

Yes No

If no, indicate which shifts you cannot work. Were you referred to HFI?

Yes No

If yes, name the person or agency.

Are you acquainted with or related to any current employee of the Company? If yes, please provide the employee's name.

Yes No

Have you ever been employed with HFI before, under this or any other name? If Yes, specify when you worked for the company.

Yes No

Can you provide proof of your eligibility to work? Date available for work: Wage/Salary desired:

Yes No

Education School Name/Address of School Course of Study Years Completed Diploma/Degree

Add Another School

Work History

Please detail your work history, beginning with your current or most recent job.

Employer Address Phone Date Employed From Date Employed To Job Title Supervisor Hourly Rate/Salary Starting Hourly Rate/Salary Final Work Performed Reason for Leaving May We Contact?

Yes No

Add Another Job

References

Please provide three work references (excluding relatives) that you have known for at least one year.

Name Address Phone Number Years Acquainted

Additional Information Do you have a valid drivers license? If Yes, list state of issue and number:

Yes No

Have you ever been convicted of a felony or drug related crime?

Yes No

If Yes, list where, when, and nature of offense, and whether or not there are any probationary restrictions placed upon you:

Criminal convictions will not absolutely prohibit employment, but will be considered in relation to specific job requirements, work environment and other factors the Company deems appropriate.

Have you had any experience in the United States Armed Forces or National Guard? Branch? Discharge Rank? Discharge Date?

Yes No

List any office machines or production equipment with which you have experience, including number of years: Describe any specialized training, apprenticeships, skills and extra-curricular activities:

Authorization

I certify that the information herin is true and complete. I authorize verification of all statements contained in this application for employment with appropriate individuals, companies, institutions or agencies, as may be necessary in arriving at an employment decision. I authorize them to release information, including my prior disciplinary employment record, without any obligation to give me written notice of such disclosures. I also authorize you to release any information requested by any prospective or subsequent employers without any obligation to give me written notice of such disclosure. 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 Hughes Furniture Ind., Inc.

I understand that I will be asked to submit to a background check, a post-offer pre-employment drug screening, obtain a physical and attend any necessary pre-employment training sessions. A posistive drug test result will result in the job offer being rescinded. I hereby release the Company and any of the aforementioned groups from any liability whatsoever as a result of any such inquiries, disclosures and screenings.

I hereby understand and aknowledge that, unless otherwise defined by applicable law, any employment arrangement with this Company is "at will," which means that the Employee may resign at any time and the Employer may discharge the Employee at any time with or without cause. It is further understood taht this "at will" employment may not be changed by any written document or by conduct unless the President of the Company specifically aknowledges such change in writing. I understand that if hired, I am not guaranteed in general or or any specific job in particular or any specific period of time.

DOCUMENTATION AND CERTIFICATION OF AUTHORIZATION TO WORK IN USA

I certify that I am legally authorized to work in the United States. I understand that any offer of employment is conditional upon my ability to provide documents required by the Immigration Reform and Control Act of 1986 providing both my identity and authorization to work in the United States, and that the failure to produce the documents will result in revocation of the offer or the termination of employment.

Applicant's Signature You may attach a resume:

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