Application for Employment

Thanks for your interest in joining Southeastern Equipment and Supply. Our policy is to provide equal employment opportunity to all qualified persons without regard to race, creed, color, religious belief, sex, age, national origin, ancestry, physical or mental disability or veteran status.

Identifying Information

Full Name *

Email *

Cell Phone *

Home Phone

Address *

Street, city, state and ZIP.

Driver's License Number and State Issued

Are you a U.S. citizen? *

Yes No

Can you provide documentation to verify that you are authorized to work in the U.S.? *

Yes No

Are you 18 or older? *

Yes No

If under 18, please provide your age *

Employment Desired *

Full-time Part-time Either

How many hours can you work weekly? *

Have you ever been convicted of a felony? *

Yes No

Please answer accurately. You'll have the chance to give details and circumstances.

Please explain the number of conviction(s), nature of the offense(s), how recently they were committed, sentence(s) imposed and type(s) of rehabilitation. *

Emergency Contacts

Who should we notify on your behalf in an emergency?

Emergency Contact 1 - Name *

Emergency Contact 1 - Phone *

Emergency Contact 1 - Relationship *

Emergency Contact 1 - Address *

Emergency Contact 2 - Name

Emergency Contact 2 - Phone

Emergency Contact 2 - Relationship

Emergency Contact 2 - Address

Position Information

Position Being Applied For *

Date Available to Start *

Desired Starting Salary *

How did you find out about this position? *

Additional Source Info

e.g. current employee's name, job website name, or agency/contact name.

Have you ever applied here before? *

Yes No

When and where was your previous application submitted? *

Have you ever been employed here before? *

Yes No

Reason for leaving your previous SES job *

Are you presently employed? *

Yes No

May we contact your present employer? *

Yes No

Present Employer Contact Name & Phone Number *

Your Skills & Attributes That Apply to This Job

Upload Your Resume

Not required, but highly encouraged.

Upload a Cover Letter (optional)

Education

Highest Level of Education Completed *

High School & Graduation Year

College/University Attended & Graduation Year

Additional Education, Certifications, Licenses, Skills & Experience

Don't include previous jobs here. Those go in the next section.

Employment History

Start with your most recent job.

Employer 1 (most recent)

Employer 1 - Company Name *

Employer 1 - Phone *

Employer 1 - Address *

Employer 1 - Supervisor Name *

Employer 1 - Start Date *

Employer 1 - End Date

Leave blank if current.

Employer 1 - Starting Position *

Employer 1 - Ending Position

Employer 1 - Starting Wage *

Employer 1 - Ending Wage

Employer 1 - Responsibilities *

Employer 1 - Reason(s) for Leaving

Employer 2 (optional)

Employer 2 - Company Name

Employer 2 - Phone

Employer 2 - Address

Employer 2 - Supervisor Name

Employer 2 - Start Date

Employer 2 - End Date

Leave blank if current.

Employer 2 - Starting Position

Employer 2 - Ending Position

Employer 2 - Starting Wage

Employer 2 - Ending Wage

Employer 2 - Responsibilities

Employer 2 - Reason(s) for Leaving

Employer 3 (optional)

Employer 3 - Company Name

Employer 3 - Phone

Employer 3 - Address

Employer 3 - Supervisor Name

Employer 3 - Start Date

Employer 3 - End Date

Leave blank if current.

Employer 3 - Starting Position

Employer 3 - Ending Position

Employer 3 - Starting Wage

Employer 3 - Ending Wage

Employer 3 - Responsibilities

Employer 3 - Reason(s) for Leaving

References

One professional and two personal references.

Professional Reference - Name *

Professional Reference - Phone *

Professional Reference - Relationship *

Professional Reference - Years Known *

Personal Reference 1 - Name *

Personal Reference 1 - Phone *

Personal Reference 1 - Relationship *

Personal Reference 1 - Years Known *

Personal Reference 2 - Name *

Personal Reference 2 - Phone *

Personal Reference 2 - Relationship *

Personal Reference 2 - Years Known *

Signature

Signature *

Sign with your finger or mouse. Clear

Questions? Call 800-440-6723, Monday to Friday, 8:30 AM to 5:30 PM ET.

Thank you!

Thanks for applying! We received your application and will contact you if your background is a fit for the position.

Need us sooner? Call 800-440-6723.