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EMPLOYMENT APPLICATION


DATE OF APPLICATION / /
Application must be filled in completely to be considered






PERSONAL INFORMATION (This application is active for 90 days from date of submission)
 		LOCATOR

Please select one or more of locations below

Press and hold the Shift key to select more than one location
POSITION YOU ARE APPLYING FOR
Cashier/Stock
Administration/Office Store Management
Distribution Center-Receiving/Shipping
Distribution Center Office/Clerical
Corporate Office Staff (Maintenance, Merchandising,
       HR, Accounting, Operations, Information Systems)
Corporate Office Management
Name (Last) (First) (Middle) Email address
Home address City State Zip How long at this address?
Home Phone Cellular/Daytime Phone How soon are you available to work?
Interested in: If under 18 provide date of birth: Who referred you to ACO?
Full time Part time / /
Do you know or are you related to any current ACO employees? Have you worked for ACO before? If so, provide details:
Who? Relationship:
List days/hours available for work or check "any":     ANY Desired starting wage: $
MON

to
 TUE

to
 WED

to
 THU

to
 FRI

to
 SAT

to
 SUN

to
 Available weekends?
Available afternoons? 		Yes No
Yes No
EDUCATION
High School
 # Years completed
9 10 11 12 		Dates attended:
/ /
to
/ / 		Specialized training
College/University
 # Years completed
1 2 3 4 		Dates attended:
/ /
to
/ / 		Degree/Certification
Trade School/Graduate School/Other
 # Years completed
 Dates attended:
/ /
to
/ / 		Degree/Certification
US MILITARY SERVICE
Branch of the service Technical specialization Rank attained
SPECIAL SKILLS
Describe skills/training that would be an asset to ACO:
Computer skills: None Beginner Intermediate Expert Hi-Lo skills: None Beginner Intermediate Expert
LEGAL
Are you a US Citizen or do you have the legal right & necessary documents to work in the U.S.? Yes No
Were you ever discharged by an employer? No Yes      If Yes, provide details:
Have you ever pled guilty or “no contest” to a crime or been convicted of a crime? (The existence of a criminal record will not automatically disqualify you from the job for which you are applying.) No Yes      Details (including dates):
EMPLOYMENT HISTORY (Most recent employer first)
FROM
 TO
 Employer: Supervisor:
Address: Job Title:
Phone: Can we contact? Yes No Wage:
Describe the work you did:               Reason for leaving:
FROM
 TO
 Employer: Supervisor:
Address: Job Title:
Phone: Wage:
Describe the work you did:               Reason for leaving:
FROM
 TO
 Employer: Supervisor:
Address: Job Title:
Phone: Wage:
Describe the work you did:               Reason for leaving:
FROM
 TO
 Employer: Supervisor:
Address: Job Title:
Phone: Wage:
Describe the work you did:               Reason for leaving:
Explain any gaps in your employment history:
REFERENCES (Other than relatives)
Name Occupation Phone # Years Known
Name Occupation Phone # Years Known
ACO is an Equal Opportunity Employer
Various federal, state and local laws prohibit discrimination based on race, color, sex, religion, national origin, ancestry, age, disability or marital status. ACO is an equal opportunity employer and your response to any question will not be used as a basis for discrimination, but will be judged solely on its relevance to the position you are seeking.
AUTHORIZATION (*Must check box below in order to submit your application successfully)
I understand that, with this authorization, an investigation may be made whereby information is obtained regarding my character, previous employment, general reputation, educational background, credit record, driving record and/or criminal history. I understand that ACO reserves the right to require me to submit to a drug/alcohol test and/or medical examination at any time to the extent permitted by law. I understand that information is obtained through personal interviews with friends and neighbors. I understand that I have the right to make a written request for detailed information about the nature and scope of this investigation. In the event of employment, I understand that false or misleading information given in my application or interview may result in immediate dismissal. I understand that I am required to abide by all rules and regulations of ACO. I understand that if employed, the employment will be "at will". That is, either I or ACO may end the employment relationship at any time, for any (or no) reason. I understand that receipt of this application by ACO does not imply employment and that this application and/or any other ACO Inc. documents are not contracts of employment.