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Work With Us
Interested in joining the D&E Supply team? Fill out the form below!
First Name
Last Name
Address
City
State
Zip Code
Phone
Email
What hours are you available?
Are you over the age of 18?
Yes
No
Do you have reliable transportation?
Yes
No
Which days of the week are you available?
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Employment History
Most recent position
Company Name
Address
City
State
Zip
Supervisor Name
Phone
Salary
Start Date
End Date
Duties and responsibilities
What do you enjoy most about your job?
What do you enjoy least about your job?
Reason for leaving
Other position held
Company Name
Address
City
State
Zip code
Supervisor name
Phone
Salary
Start date
End date
Duties and responsibilities
Do you have any other relevent experience?
Your Background
Have you been convicted of a felony in the last seven years?
(Conviction will not necessarily disqualify applicant for employment).
Yes
No
If yes, please explain
References
Reference 1
Name
Relationship
Phone
Reference 2
Name
Relationship
Phone
I agree, in consideration of my employment, to conform to the rules and policies of the employer, and that my employment can be terminated, with or without cause, at any time, at the option of either the employer or myself. I understand that no representitive of the employer, other than the personnel manager or president has any authority to enter into any agreement for employment for any specific period of time, or to make any other agreement.
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