Join Our Team | Whitco Supply

Position Applied For*

MTR Dept.
Clerical
Driver
Inside Sales
Warehouse
Accounting
Outside Sales

Location Applying to:*

Accu-Tech Experience?*

Yes
No

Supply Store Experience?*

Yes
No

Name*

First M.I. Last

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Email*

Date Available*

Desired Salary/ Hourly Pay

Position Applied For:*

Are you a citizen of the United States?
Have you ever worked for this company?
Have you ever been convicted of a felony?

If no, are you authorized to work in the U.S.?

If yes, exaplin:

If so, When?

Education

High School

Address

From

To

Did You Graduate

Yes
No

Degree

College

Address

From

To

Did You Graduate

Yes
No

Degree

Other

Address

From

To

Did You Graduate

Yes
No

Degree

References

Please list three professional references.

Full Name

Relationship

Company

Phone

Full Name

Relationship

Company

Phone

Full Name

Relationship

Company

Phone

Previous Employment

Company

Phone

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

From

To

Reason for Leaving

May we contact your previous supervisor for a reference?

Yes
No

Company

Phone

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

From

To

Reason for Leaving

May we contact your previous supervisor for a reference?

Yes
No

Company

Phone

Supervisor

Job Title

Starting Salary

Ending Salary

From

To

Reason for Leaving

May we contact your previous supervisor for a reference?

Yes
No

Military Service

Branch

From:

To

Rank at Discharge

Type of Discharge

If other than honorable, explain:

Disclaimer

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

I certify that my answers are true and complete to the best of my knowledge.

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