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A P P L I C AT I O N F O R E M P L O Y M E N T

Last Name: Social Security #: Present Address: City: First: Contact Telephone #: State: MI:

Zip:

www.murdochs.com

Have you previously worked for Murdoch's Ranch & Home Supply? Yes No If yes, which location and when? How did you become interested in Murdoch's Ranch & Home Supply? Are you under 16 years of age? Yes No

JOB REQUIREMENTS

POSITION APPLIED FOR: TYPE OF EMPLOYMENT DESIRED? REGULAR TEMPORARY PART TIME WHAT HOURS ARE YOU AVAILABLE? CAN YOU WORK SATURDAYS? SUNDAYS? WHAT DATE WILL YOU BE AVAILABLE TO START? PLEASE PROVIDE ANY ADDITIONAL INFORMATION ABOUT YOURSELF THAT WILL AID IN EVALUATING YOUR CAREER INTEREST AND ABILITIES:

GENERAL INFORMATION

HAVE YOU EVER BEEN CONVICTED OR ARE YOU AWAITING TRIAL FOR A FELONY CHARGE? Yes No ANSWER BELOW ONLY IF APPLYING FOR A JOB REQUIRING YOU TO DRIVE A MURDOCH'S RANCH & HOME SUPPLY VEHICLE. Do you have a valid U.S. Driver's License? Yes No State: Special Types: Has it ever been suspended or revoked? Yes No If yes, explain: How many vehicle accidents have you had in the past 5 years?

ALL OFFERS WILL BE CONTINGENT UPON THE VERIFICATION OF LAWFUL EMPLOYMENT STATUS AS REQUIRED BY THE IMMIGRATION REFORM AND CONTROL ACT OF 1986. THIS PROCESS MUST BE COMPLETED WITHIN 3 DAYS OF START DATE. IF HIRED, CAN YOU VERIFY EMPLOYMENT ELIGIBILITY FOR WORK IN THE U.S? Yes No

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EMPLOYMENT HISTORY

Please list your 4 most recent employers starting with the current or most recent position. EMPLOYER FROM/TO SALARY POSITION REASON FOR LEAVING 1. 2. 3. 4. PHONE

EDUCATION HISTORY

TYPE OF SCHOOL High School Business or Vocational School College Graduate School Other Special Training NAME OF SCHOOL FROM/TO GRADUATED? TYPE OF DEGREE

PROFESSIONAL/PERSONAL REFERENCES

NAME 1. 2. 3. 4.

I authorize the listed employers, schools and personal references, as well as any other persons, schools, companies, credit bureaus, state licensing, law enforcement and other governmental agencies, to give Murdoch's Ranch & Home Supply (without further notice to me) any and all information about my previous employment and education, along with any other pertinent information they may have, personal or otherwise. I release all parties from all liability and agree not to file any claim, lawsuit or any other cause of action of any kind against any person or entity arising out of the furnishing or use of such information. In consideration of my employment by Murdoch's Ranch & Home Supply, I agree to learn and conform to Murdoch's Ranch & Home Supply rules and regulations. I further agree that I have the right to terminate my employment without notice at any time for any reason, and that Murdoch's Ranch & Home Supply also retains this right.

YEARS ACQUAINTED

BUSINESS

PHONE

Signature

Date

Information

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