Confidential Application for Employment

Aero Hardware & Supply / Hydraulic Supply Co. / Industrial Global Sales

Instructions and Information

Important - Please read the following before completing the application:

Answer every question applicable to the job for which you are applying. A resume may be furnished, but does not substitute for completion of all questions. Any unanswered questions may be considered a reason for disregarding your application.

You must be specific regarding the position for which you are applying; if you are unsure of the title please contact Human Resources.

Read the Terms of Employment section carefully.

If you print this application to fill out, then mail or fax, print clearly in ink, or type. Be sure to sign the application.

Return the completed application to:

Aero Hardware & Supply / Hydraulic Supply Co. / Industrial Global Sales
Attn: Human Resources
300 International Parkway
Sunrise, FL 33325
Fax: (954) 851-9919
Tel: (954) 453-8103 or (800) 432-6413

Drug Free Workplace - Notification to Prospective Employees

Applicants for all positions are required to sign a release and submit to an alcohol/drug screen at a clinic designated by the Company. This procedure occurs after the interviewing process, but prior to an offer for employment. Persons who test positive for alcohol and/or illegal drugs or for legal drugs that could affect job performance will not be hired.

We sincerely appreciate your interest in our organization. Applications will remain active for a period of six months.

Mandatory Field:

Optional Field:

Your Name:

Your E-mail Address:

General Information:

Date:

Social Security#:

Home Phone:

Work Phone:

Are you at least 21 years old?: Yes No

If not at least 21, your age:

Last Name:

First Name:

Middle Name:

Street Address:

City:

State:

Zip Code:

Title of position applying for:

Desired Salary:

Type of employment you prefer (Full Time / Part Time / Temporary):

Have you previously worked for Aero Hardware/HSC/IGS ?

Yes No

If Yes, when?:

Have you ever applied to Aero Hardware / HSC / IGS ?

Yes No

If Yes, when?:

Are you legally authorized to work in the United States?

Yes No

Education

High School:

Location (City & State)

Degree: Yes No

Business/Trade School:

Location (City & State)

Degree: Yes No

Major:

Number of Years Attended:

College / University:

Location (City & State)

Degree: Yes No

Major:

Number of Years Attended:

Graduate / Professional School:

Location (City & State)

Degree: Yes No

Major:

Number of Years Attended:

Previous Employment
List all previous employment and unemployment with the last five years. Begin with the present and work back to your first position. If there were periods where you were self employed or unemployed for 30 days or longer, list name and address of person(s) who can verify

Present or Last Employer

Company Name:

Address:

Phone:

Name of Supervisor:

Type of Business:

Employment Dates:

Position(s) Held:

Salary:

Reason for Leaving:

Previous Employer

Company Name:

Address:

Phone:

Name of Supervisor:

Type of Business:

Employment Dates:

Position(s) Held:

Salary:

Reason for Leaving:

Next Previous Employer

Company Name:

Address:

Phone:

Name of Supervisor:

Type of Business:

Employment Dates:

Position(s) Held:

Salary:

Reason for Leaving:

May we contact your previous employers?: Yes No

If no, why not?

List years of experience in the following

Microsoft Word:

Microsoft Access:

Microsoft PowerPoint:

Microsoft Excel:

Internet:

Typing:

Typing wpm:

Other software/hardware/office equipment experience:

Additional Data (Check yes or no and give an explanation where applicable

Are you related to an Aero/HSC/IGS employee or consultant?

Yes No

(If yes, provide name and position)

Have you ever worked or attended school under another name?

Yes No

(If yes, indicate the name)

In the last 5 years, have you been convicted or plead guilty to a felony or crime (including DWI/DUI)?

Yes No

(If so, when? Please explain)

Do you have a valid driver's license? Yes No

Type:

How did you hear of our current job opening?

Terms of Employment:

I authorize investigation of all statements contained in this application, related papers or oral interviews, and I certify that this information is true and correct, and release all parties from all liability for any damages that may result from this investigation. I understand that at all times, the manufacturer, use, sale, possession, distribution, or transfer of illegal drugs, controlled substances or unauthorized use of alcohol on premises during the operating hours of those premises is strictly prohibited and failure to comply will result in termination. I understand that misrepresentation or omission of facts called for is cause for immediate dismissal without recourse. I agree to submit to a physical examination(s) by a doctor designated by the Company, either prior to or during the course of employment whenever the Company so requests. If accepted for employment or training, I agree to abide by all present and future policies and procedures of the Company, both with respect to work performance and standards of personal conduct. If employed, I understand that my employment is for an indefinite period of time, and that my employment may be terminated at any time for any reason. I understand that completion of this application form does not constitute any type of employment agreement or contract. I understand that I am required to comply with all personal identification and employment eligibility requirements of the Immigration Reform and Control Act and that failure to do so will result in termination. I understand that a direct deposit of pay is a requirement).

Signature (If printed then mailed or faxed): __________________________________

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