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Employment Application

Equal access to programs, services and employment is available to all persons. We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, disability, marital or veteran status, sexual orientation, or any other legally protected status.

Please complete this application in full

Your Contact Information

Your Full Name*

First Middle Last

Address*

Street Address Address Line 2 City State ZIP Code

Your Contact Phone Number:*

Best time to call you?

: Hour

Minute

Do you have an email address?*

Yes
No

Your Email Address

How do you prefer to be contacted?

Phone Call
Email

About the Position

Position(s) Applied for:*

How did you hear about the position?*

Brattleboro Reformer
Eagle Times
Keene Sentinel
Online/Craigslist
The Message
Unemployment Office
None/Walk-In
Other
Someone I know works at Len-Tex

Name of the Len-Tex Employee you know:

First Middle Last

If "Other", please explain.

Previous Len-Tex Employment

Have you every worked here before?*

Yes
No

If yes, under what name?

First Middle Last

From Date

To Date

What Department?

Why did you leave?

Employment Verification

Are you over the age of 18?*

Yes
No

Are you legally eligible for employment in this country?*

Yes
No

If you are under 18, can you provide proof of eligibility to work?*

Yes
No

Desired Employment

Wage Desired*

Per:

Date Available to Work*

Type Of Employment Desired:*

Full-Time
Part-Time

What Shift?

First Shift: 6:00AM-4:30PM
Second Shift: 4:30PM-3:00AM
Either Shift is OK
Office Positions: 8:30AM-5:00PM

Are you available to work overtime if required?*

Yes
No

If No, Please Explain

Are there any days/times you are NOT available to work?*

Yes
No

If Yes, please explain:

Additional comments on your availability:

Skill & Qualifications

Skills Comments:

Summarize any special training, skills, licenses and/or certificates that may qualify you to perform the position for which you are applying.

Employment History

Most Recent Employer*

Employer's Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Job Title

Your Hourly Rate / Salary*

Dates Employed:*

From

To

Immediate Supervisor

Reason for leaving*

Your Job Duties:

2nd Employer*

Employer's Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Job Title

Your Hourly Rate / Salary*

Dates Employed:*

From

To

Immediate Supervisor

Reason for leaving*

Your Job Duties:

3rd Employer*

Job Title

Your Hourly Rate / Salary*

Dates Employed:*

From

To

Immediate Supervisor

Reason for leaving*

Your Job Duties:

Additional Employment History Information

Employment History Comments, including explanation of any gaps in your employment:

In the past, have you ever been fired or quit a job without notice?:*

Yes
No

If yes, please explain.

Education

High School*

School Name

High School Address*

City State ZIP Code

Did you graduate?*

Yes
No
GED

College / University

College / University Name

College / University Address

City State / Province / Region ZIP / Postal Code Country

Level achieved:

Did not obtain Degree
Associate's Degree
Bachelor's Degree
Master's Degree

Other School

School Name

Other School's Address

City State / Province / Region ZIP / Postal Code Country

Years Completed:

1
2
3
4

Degree / Certificate Received:

Professional References

List the name and telephone number of three professional work references that are not friends, and are not related to you.

Reference #1*

First Name Last Name

How do you know this person?*

How long have you known this person?*

Reference #1 Contact Phone Number*

Reference #1 Email Address

Reference #2*

First Name Last Name

How do you know this person?*

How long have you known this person?*

Reference #2 Contact Phone Number*

Reference #2 Email Address

Reference #3*

First Name Last Name

How do you know this person?*

How long have you known this person?*

Reference #3 Contact Phone Number*

Reference #3 Email Address

Upload Your Resume

Max. file size: 50 MB.

I certify that all information I have provided in order to apply for and secure work with the employer is true, complete and correct.

I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to (i) cancel further consideration of this application, or (ii) immediately discharge me from the employer’s service whenever it is discovered.

I understand the company will be checking my references and employment background. I authorize the company to do so and release from liability anyone giving or obtaining such background information. Any offers of employment are subject to successful completion of a drug analysis.

I understand this application does not constitute a contract of employment or an indication that any jobs are available. Any employment with Len-Tex is “at-will”, meaning the employer or employee can end the employment relationship at any time for any or no reason and with or without notice.

I understand Len-Tex does require drug testing to be employed and will comply with any and all drug test policies. I also understand depending on the position being applied for background and credit checks may be required as well.

I understand that Len-Tex Corp does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by applicable local, state or federal law.

I understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the United States and that federal immigration laws require me to complete an I-9 Form in this regard.

I certify that by submitting this form on lentexwallcoverings.com, that I have read, fully understand and accept all terms of the foregoing Application Statement.

Employment Application

Equal access to programs, services and employment is available to all persons. We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, disability, marital or veteran status, sexual orientation, or any other legally protected status.

** Please complete this application in full **

Your Contact Information

About the Position

Previous Len-Tex Employment

Employment Verification

Desired Employment

Skill & Qualifications

Employment History

Additional Employment History Information

Education

Professional References

Please complete this application in full