JOB APPLICATION

 

Hardeman County Chamber of Commerce

112 S Main St/PO Box 313, Bolivar, Tennessee 38008

731-659-6554

Hardeman County Chamber Of Commerce is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Should an applicant need reasonable accommodation in the application process, he or she should contact a company representative.

Please fill out all of the sections below:

 

Applicant Information

Applicant Name:

 

Address:

 

City, State and Zip Code:

 

Telephone Number:

 

Email Address:

 

 

Date of Application:

 

 

 

Employment Position

Position(s) applying for: Administrative Assistant ( full time)

 

How did you hear about this position?

 

If needed, are you available to work overtime?

 

On what date can you start working if you are hired?

 

Do you have reliable transportation to and from work?

 

 

Personal Information

Have you ever applied to or worked for Hardeman County Chamber of Commerce before?

Yes

No

If yes, when?

 

 

 

 

 

 

 

Do you have any friends, relatives, or acquaintances working for Hardeman County Chamber of Commerce

Yes

No

If yes, state name & relationship:

 

 

 

 

 

Are you 18 years of age or older?

Yes

No

Are you a U.S. citizen or approved to work in the United States?

Yes

No

What document can you provide as proof of citizenship or legal status?

 

 

 

 

 

 

 

 

Will you consent to a mandatory controlled substance test?

Yes

No

Do you have any condition which would require job accommodations?

Yes

No

If yes, please describe accommodations required below.

 

 

 

 

 

 

 

Have you ever been convicted of a criminal offense (felony or misdemeanor)?

Yes

No

If yes, please state the nature of the crime(s), when and where convicted and disposition of the case:

 

 

 

 

 

 

 

Job Skills/Qualifications

Please list below the skills and qualifications you possess for the position for which you are applying:

 

 

 

 

 

 

(Note: Hardeman County Chamber of Commerce complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. )

 

 

Education and Training

 

High School

Name

Location (City, State)

Year Graduated

Degree Earned

 

 

 

 

 

College/University

Name

Location (City, State)

Year Graduated

Degree Earned

 

 

 

 

 

Vocational School/Specialized Training

Name

Location (City, State)

Year Graduated

Degree Earned

 

 

 

 

 

Military:

Are you a member of the Armed Services?

 

What branch of the military did you enlist?

 

What was your military rank when discharged?

 

How many years did you serve in the military?

 

What military skills do you possess that would be an asset for this position?

 

 

 

 

 

Previous Employment

Employer Name:

 

Job Title:

 

Supervisor Name:

 

Employer Address:

 

City, State and Zip Code:

 

Employer Telephone:

 

Dates Employed:

 

Reason for leaving:

 

 

Employer Name:

 

Job Title:

 

Supervisor Name:

 

Employer Address:

 

City, State and Zip Code:

 

Employer Telephone:

 

Dates Employed:

 

Reason for leaving:

 

 

Employer Name:

 

Job Title:

 

Supervisor Name:

 

Employer Address:

 

City, State and Zip Code:

 

Employer Telephone:

 

Dates Employed:

 

Reason for leaving:

 

 

 

References

Please provide 3 personal and professional reference(s) below:

 

Reference

Contact Information

 

 

 

 

 

AT-WILL EMPLOYMENT

The relationship between you and the Hardeman County Chamber of Commerce is referred to as "employment at will."  This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or the Hardeman County Chamber of Commerce.  No representative of Hardeman County Chamber of Commerce has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will," and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and either our Executive Vice-President/Chief Operations Officer or the Company's President.  

 

 

Applicant Signature:

 

Dated: