Application For Employment
 
Application Status
Please complete the application below.
Department
  Manufacturing   Shipping   Office

Name
Phone
  Alt Phone (optional)
Home Address
  Years   Months
Email (optional)
Desired Salary or Hourly Rate
  # Weekly Hours   Available for Overtime?  Yes  No
Earliest Start Date
  Work Certificate (under 18)?  N/A  Yes  No

 
Have you previously worked for OR applied for employment with Wesco?  No  Worked  Applied


EDUCATION

High School

City, State
Major /
Course Study

Graduate?
# Years
Completed
 Y N

College

City, State
Degree /
Course Study

Graduate?
# Years
Completed
 Y N

Bus. / Tech / Trade / Other

City, State
Degree /
Course Study

Graduate?
# Years
Completed
 Y N

WORK EXPERIENCE
Please list the names of your present and/or previous employers in chronological order with present or more recent employer listed first. Provide information for at least the most recent ten (10) year period. If self-employed, supply company name and business references. You may include verifiable work performed on a volunteer basis, internships or military service. Your failure to completely respond to each inquiry may disqualify you for consideration from employment. Do not answer “see resume.”
Employer Name
  Address   Phone
 
Dates Employed (month / year) /  to  /
 
Job Title
 
Duties
 
Supervisor's Name   May we contact?  Yes  No
 
If no, why not?
 
Reason for Leaving
 
What will this employer say was the reason your employment terminated?
 
 
Employer Name
  Address   Phone
 
Dates Employed (month / year) /  to  /
 
Job Title
 
Duties
 
Supervisor's Name   May we contact?  Yes  No
 
If no, why not?
 
Reason for Leaving
 
What will this employer say was the reason your employment terminated?
 
 
Employer Name
  Address   Phone
 
Dates Employed (month / year) /  to  /
 
Job Title
 
Duties
 
Supervisor's Name   May we contact?  Yes  No
 
If no, why not?
 
Reason for Leaving
 
What will this employer say was the reason your employment terminated?
 
 
Employer Name
  Address   Phone
 
Dates Employed (month / year) /  to  /
 
Job Title
 
Duties
 
Supervisor's Name   May we contact?  Yes  No
 
If no, why not?
 
Reason for Leaving
 
What will this employer say was the reason your employment terminated?
 
 
Employer Name
  Address   Phone
 
Dates Employed (month / year) /  to  /
 
Job Title
 
Duties
 
Supervisor's Name   May we contact?  Yes  No
 
If no, why not?
 
Reason for Leaving
 
What will this employer say was the reason your employment terminated?
 
 

 
How many times have you been terminated or asked to resign from any job?
 
How many times have you been terminated by mutual agreement?
 
How many times have you been given a choice to resign rather than be terminated?

REFERENCES

Name

Postition

Company
Relationship
(supervisor, co-worker)

Phone

APPLICANT CERTIFICATION

I understand and agree that if driving is a requirement of the job for which I am applying, my employment and/or continued employment is contingent on possessing a valid driver’s license for the state in which I reside and automobile liability insurance in an amount equal to the minimum required by the state where I reside.

I understand that the Company may now have, or may establish, a drug-free workplace or drug and/or alcohol testing program consistent with applicable federal, state and local law. If the Company has such a program and I am offered a conditional offer of employment, I understand that if a pre-employment (post-offer) drug and/or alcohol test is positive, the employment offer may be withdrawn.

I certify that all the information on this application, my resume, or any supporting documents I may present during any interview is and will be complete and accurate to the best of my knowledge. I understand that any falsification, misrepresentation, or omission of any information may result in disqualification from consideration for employment, or, if employed, disciplinary action, up to and including immediate termination.

WESCO IS AN AT-WILL EMPLOYER. THIS MEANS THAT REGARDLESS OF ANY PROVISION IN THIS APPLICATION, IF HIRED, THE COMPANY OR I MAY TERMINATE THE EMPLOYMENT RELATIONSHIP AT AY TIME, FOR ANY REASON, WITH OR WITHOUT CAUSE OR NOTICE.

I authorize the Company or its agents to confirm the information contained in this application and/or resume as it relates to the position I am seeking.

If hired by Wesco, I understand that I will be required to provide documentation establishing my identity and eligibility to be legally employed in the United States.

I understand that I will be required, as a condition of employment with WESCO, to sign an Arbitration Agreement and hereby acknowledge that I have been given a copy that Arbitration Agreement to review.

THIS APPLICATION WILL BE CONSIDERED ACTIVE FOR A MAXIMUM OF SIXTY (60) DAYS. IF YOU WISH TO BE CONSIDERED FOR EMPLOYMENT AFTER THAT TIME, YOU MUST REAPPLY.

I CERTIFY THAT ALL OF THE INFORMATION THAT I HAVE PROVIDED ON THIS APPLICATION IS TRUE, ACCURATE AND COMPLETE.

DO NOT SIGN UNTIL YOU HAVE READ ALL OF THE INFORMATION CONTAINED IN THE APPLICATION.

>> Signature field will appear here when your application is complete. <<   


West Coast Shoe Company, Boots, Scappoose, OR