Employment Please fill out the below application, inquiries should be directed to Mike Abernathy at email@example.com. Employment Application Ray's Flooring Application Ray's Flooring Job Application Form Name* First Middle Last Today's date:* Date Format: MM slash DD slash YYYY Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Phone*Email Are you over the age of 21?* Yes No What position are you applying for?*When are you available to start?* Date Format: MM slash DD slash YYYY What type of employment are you interested in? Full-time employment Part-type employment Other If you selected "Other Employment", please explain:Are you willing to work: additional hours, if needed. weekends, if needed. Select all that apply.What days and/or hours are you UNABLE to work?Are you a former Ray's Flooring employee?* Yes No If you were a former Ray's employee, please provide dates:Are you legally eligible for employment in the U.S. without sponsorship?* Yes No Proof of identity & eligibility will be required upon employment.If you were referred to us, please provide the following:Referrals name First Last Relationship to you:What is their relationship to you?Do you have any relatives working here?If yes:What is their name? First Last Certifications, Licenses, and EndorsementsCertificates, Endorsements, or Licenses (Explain Type)Explain Type:State of IssueIssued/Award DateExpiration Date Include expiration date, etc. Verification will be completed based upon the information provided.EducationHigh SchoolNameAddresssGPADid you graduate? Yes/No Associates Degree, Trade/VocationalNameAddressGPACourse of Study (provide major)Did you graduate? Yes/NoDegree (do not provide year) UndergraduateNameAddressGPACourse of Study (provide major)Did you graduate? Yes/NoDegree (do not provide year) Undergraduate SchoolNameAddressGPACourse of Study (provide major)Did you graduate? Yes/NoDegree (do not provide year) Employment HistoryProvide at least 5 years and start with current/recent positions. Please provide accurate and complete employment history. If you attach a resume, please do not indicate "See Resume". Have you encountered gaps in your employment history THAT ARE NOT due to personal illness, injury, or disability?* Yes No If there are any gaps in your employment history, please explain:1)Employer*Address* Street Address City State / Province / Region ZIP / Postal Code Phone*Dates of employment:*Start Date: mm/yyEnd Date: mm/yy Title/Position*Beginning TitleEnding Title Name and Title of your Supervisor:*NameTitle Description of your duties:*Reason for leaving:May we contact employer listed above?* Yes No Have you been asked to resign or involuntarily been terminated from this job?* Yes No If you have asked to resign or involuntarily quit, please Explain:*2)Employer*Address* Street Address City State / Province / Region ZIP / Postal Code Phone*Dates of employment:*Start Date: mm/yyEnd Date: mm/yy Title/Position*Beginning TitleEnding Title Name and Title of your Supervisor:*NameTitle Description of your duties:*Reason for leaving:May we contact employer listed above?* Yes No 3)Employer*Address* Street Address City State / Province / Region ZIP / Postal Code Phone*Dates of employment:*Start Date: mm/yyEnd Date: mm/yy Title/Position*Beginning TitleEnding Title Name and Title of your Supervisor:*NameTitle Description of your duties:*Reason for leaving:*May we contact employer listed above?* Yes No 4)EmployerAddress Street Address City State / Province / Region ZIP / Postal Code PhoneDates of employment:Start Date: mm/yyEnd Date: mm/yy Title/PositionBeginning TitleEnding Title Name and Title of your Supervisor:NameTitle Description of your duties:Reason for leaving:May we contact employer listed above? Yes No 5)EmployerAddress Street Address City State / Province / Region ZIP / Postal Code PhoneDates of employment:Start Date: mm/yyEnd Date: mm/yy Title/PositionBeginning TitleEnding Title Name and Title of your Supervisor:NameTitle Description of your duties:Reason for leaving:May we contact employer listed above? Yes No Driving RecordsCOMPLETE FOR DRIVING POSITIONS ONLY.Do you have a valid unexpired driver's license: Yes no Specify State of Issue:Do you have access to a vehicle to use for business purposes, if applicable to the position? Yes No Is there any reason that you would not be approved as a driver when a motor vehicle record report is run? Yes No If you would NOT BE APPROVED as a driver, please explain:If your position is an installer, do you understand that you will report to various work sites to perform your work and that the time worked IS NOT PAID until you arrive at the work site and began work? Yes No Foreign LanguageAn assessment may be completed prior to hiring.ListLanguageProficient in ReadingProficient in SpeakingProficient in Writing F = Fluent, C = Conversationalist, N/A = Not AvailableProfessional ReferencesList THREE professional references who have knowledge of your professional experiences. Only list people you want to be contacted. All information below is required. PLEASE DO NOT LIST RELATIVES, FRIENDS OR RAY'S FLOORING EMPLOYEES.References (An assessment may be completed prior to hire.)*NamePhone or EmailOccupation / BusinessRelationshipHow Long Known CONDITIONS OF APPLICATIONAPPLICANT ACKNOWLEDGEMENT OF TERMS AND CONDITIONS OF APPLICATION*In exchange for Ray’s Flooring Inc. (a.k.a. Ray’s Flooring) consideration of this employment application: I certify that all information I have supplied in this application and any other form, oral or written is true and accurate, and I agree that any misstated, misleading, incomplete or false information is grounds for rejection of this application, refusal to hire or immediate discharge without recourse. I understand and agree that Ray’s Flooring, any agent acting on their behalf, as well as any other person responding to reference request pursuant to this application, can and will seek and/or disclose any and all information about me which Ray’s Flooring, agent or agents, or persons may have. I specifically authorize said disclosure and agree to hold all such corporations, agents, or persons harmless for the same. That is, I will not file a lawsuit, claim or charge against them for such disclosure. Nor will I threaten same or otherwise seek any kind of compensation for such disclosure. I understand and agree with the fact that Ray’s Flooring maintains a drug-free workplace, that maintenance of it is essentially for the safety of the workplace and employees, and that I may be required to undergo drug and/or alcohol impairment screening and testing. I also understand and agree that I may be subject to such testing during the course of my employment. I understand that, subject to applicable law, Ray’s Flooring shall be the sole judge of the acceptability of any tests results. I also acknowledge that I have been advised that Ray’s Flooring is an Equal Opportunity Employer and that Ray’s Flooring administers its employment policies in a nondiscriminatory manner. I specifically authorize Ray’s Flooring to investigate my background, including any and all references, available criminal and other judicial records, and my credit record, consistent with applicable law. I understand that Ray’s Flooring will notify me if and when a credit record investigation is performed, and the sources investigated. I authorize Ray’s Flooring to use all legal means at its disposal to assess my suitability for employment. I make this authorization in return for Ray’s Flooring consideration of me for employment, and I specifically release and hold Ray’s Flooring harmless for any and all liabilities arising out of their investigation of my application for employment. I understand and agree that, if hired, my employment will be at-will, and that I or Ray’s Flooring can terminate this employment relationship at any time, with or without notice or cause, for any reason not prohibited by law. I hereby certify that I have read and understand the Terms and Conditions of this Application for Employment.Applicants Signature* First Last Date* Date Format: MM slash DD slash YYYY Upload your resume, certificates, and/or any file you would like to include.Accepted file types: jpg, pdf, docx, pages.