Vermont Store Fixture Corporation

The information you enter here will travel by secure server, become encrypted, and sent to us via e-mail. This information is collected only for the purpose of evaluating prospective employees and will not knowingly be shared outside Vermont Store Fixture Corporation. If you are still hesitant to use this form, you may fax or snail mail your resume to our main office. Our contact information is at the bottom of each page. -Thank You
PERSONAL INFORMATION
Date:		Social Security Number:
Last Name:		Phone:
First Name:
Middle Name:
E-mail
Present Address:
City:		State:		Zip:
Perm. Address:
City:		State:		Zip:
EMPLOYMENT DESIRED
Postion:		Date You Can Start:		Salary Desired:
Are you employed now?			If so, may we inquire of your present employer?
Ever applied to this company before?		Where?		When?
Referred by:
EDUCATION	Name and Location of School		Subjects Studied	No. of years attended	Did you graduate?
Grammar School:
High School:
College:
Trade, Business, or Correspondence School:
GENERAL
Subjects of Special Study or Research Work:
Special Skills:
Activities: (Civil, Athletic, etc.:
U.S. Military or Naval Serice (Enter Branch)		Rank		Present Membership in National Guard or Reserves
FORMER EMPLOYERS
Date: (enter month/year)	Name and address of employer		Salary	Position	Reason For Leaving
From:
To:
From:
To:
From:
To:
Which of these positions did you like best?
What did you like most about this job?
REFERENCES: Give the names of three persons not related to you
Name		Address		Business	Years Acquainted
1.
2.
3.
In case of Emergency Notify
Name:
Address:
City:		State:		Zip:
Phone No:.
BY SUBMITTING THIS FORM . . . "I CERTIFY THAT ALL THE INFOMRATION SUBITTED BY ME ON THIS APPLICATION IS TRUE AND COMPLETE, AND I UNDERSTAND THAT IF ANY FALSE INFOMRATION, OMISSIONS, OR MISREPRESENTATIONS ARE DISCOVERED, MY APPLICATION MAY BE REJECTED AND, IF I AM EMPLOYED, MY EMPLOYMENT MAY BE TERMINATED AT ANY TIME. IN CONSIDERATION OF MY EMPLOYMENT, I AGREE TO THE COMANY'S RULES AND REGULATIONSAND I AGREE THAT MY EMPLOYMENT AND COMPENSATION CAN BE TERMINATED, WITH OR WITHOUT CAUSE, AND WITH OR WITHOUT NOTICE , AT ANY TIME, AT EITHER MY OR THE COMPANY'S OPTION. I ALSO UNDERSTAND AND AGREE THAT THE TERMS AND CONDITIONS OF MY EMPLOYMENT MAY BE CHANGED, WITH OR WITHOUT CAUE, AND WITH OR WITHOUT NOTICE, AT ANY TIME BY THE COMAPNY. I UNDERSTAND THAT NO COMPANY REPRESENTATIVE, OTHER THAT IT'S PRESIDENT, AND THEN ONLY WHEN IN WRITING AND SIGNED BY THE PRESIDENT, HAS ANY AUTHORITY TO ENTER INTO ANY AGREEMENT FOR EMPLOYMENT FOR ANY SPECIFIC PERIOD OF TIME, OR TO MAKE ANY AGREEMENT CONTRARY TO THE FOREGOING."