Join the Hanover® Team

Application for Employment

Last Name *

First Name *

Middle Name

Street Address *

City, State, Zip *

Have you ever applied for employment with us? * Yes No

If yes: Month and Year

Other special training or skills (languages, machine operation, etc.)

When will you be available to begin work? *

Home Phone / Cell Phone *

Business Phone

Email Address *

Position Desired *

Hourly Wage Expected

Will you work overtime if asked? * Yes No

How did you learn of our organization?

Education

Course of Study

Name & Location of School

No. of Years Completed

Course of Study

Name & Location of School

No. of Years Completed

Course of Study

Name & Location of School

No. of Years Completed

Military

Complete this setion if you served in the U.S. Armed Forces.

Describe your duties and any special training

Branch of Service

Period of Active Duty (Month & Year)

Rank at Discharge

Date of Final Discharge

Employment

Please give accurate, complete, full-time and part-time employment record

START WITH PRESENT OR MOST RECENT EMPLOYER.

Company Name

Address

Name of Supervisor

Telephone

Employed (State Month and Year)

Weekly Wage

State Job Title & Describe Your Work

Reason for Leaving

Company Name

Address

Name of Supervisor

Telephone

Employed (State Month and Year)

Weekly Wage

State Job Title & Describe Your Work

Reason for Leaving

Company Name

Address

Name of Supervisor

Telephone

Employed (State Month and Year)

Weekly Wage

State Job Title & Describe Your Work

Reason for Leaving

Company Name

Address

Name of Supervisor

Telephone

Employed (State Month and Year)

Weekly Wage

State Job Title & Describe Your Work

Reason for Leaving

WE MAY CONTACT THE EMPLOYERS LISTED ABOVE UNLESS OTHERWISE INDICATED.

ANSWERS TO THE FOLLOWING QUESTIONS ARE VOLUNTARY

Age

Martial Status Single Engaged Married Separated Divorced Widowed

How long at present address?

What was your previous address?

How long at previous address?

State the names of relatives and friends working for us other than your spouse

Date of Birth

Sex Male Female

Are you over 18 years of age? Yes No

If not, employment is subject to verification of minimum legal age.

Are you a U.S. Citizen? Yes No

Hobbies, Activities and Interests

Have you been convicted of a crime in the past ten years, excluding misdemeanors and summary offenses, which has not been annulled, expunged or sealed by a court? Yes No

If yes: Describe in full

Have you physical defects which preclude you from performing certain jobs? Yes No

If yes: Describe limitation

Upload your Resume (optional) The maximum file size is 5mb (.pdf)

I authorize investigation of all statements contained in this application. I understand that misrepresentation or omission of facts called for is cause for dismissal. Further, I understand and agree that my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without notice. *

I Agree