R.D. Henry & Company Online Employment Application
Employment Application
Thank you for considering job opportunities within R.D.Henry & CO.
We are an equal opportunity employer. This application is valid for 6 months from the date submitted.  Fields with red (*) asterisk are required fields.

Position Applying For:
Hourly Rate Desired:
Employment Desired:
Anticipated Start Date:
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PERSONAL INFORMATION
Incomplete information could disqualify you from further consideration.
Name (First, Middle, Last)*
Address*
City*
State
Zip Code*
Home Phone Number
Cell Phone Number
Email Address
Can you provide documentation establishing your identity and your eligibility to work in the United States?*
Are you at least 18 years of age or older? (If not, you may be required to provide authorization to work.)*
Preferred Work Schedule*
Are you available to work overtime?*
Please list any schedule accomodations needed
Are you able to perform the essential functions of the job for which you are applying, with or without a reasonable accommodation?*
REFERRAL SOURCE
How did you hear about us?
Source
Have you ever worked for RDH (Custom Cupboards) before?*
If yes, please provide dates, supervisor names, etc.
Do you know anyone who works for RDH (Custom Cupboards)?
If yes, please provide their name and dates of employment
Do you have any relatives currently working for RDH (Custom Cupboards)?
BACKGROUND
Are you currently employed?*
If yes, may we contact your present employer?
Have you ever been terminated from employment or asked to resign by an employer?*
If yes, please provide company names and contacts
Have you ever been convicted of a felony offense?*
A conviction will not necessarily disqualify you for employment. Rather, such factors as age, date of conviction, seriousness, and nature of the crime will be considered. If yes, please provide dates and location of all convictions
EMPLOYMENT HISTORY
Please complete the following employment history encompassing your last four (4) positions OR your last ten (10) years of employment. (e.g. writing "see resume" is unacceptable)
CURRENT OR MOST RECENT EMPLOYER
Start Date
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End Date
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Starting Wage
Ending Wage
Company
Phone Number
OK to contact
Address
City
State
Zip
Job Title
Supervisor Name & Title
Describe the major job duties, responsibilities and nature of work performed
Reason for leaving
EMPLOYMENT HISTORY - EMPLOYER 2
Start Date
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End Date
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Starting Wage
Ending Wage
Company
Phone Number
OK to contact
Address
City
State
Zip
Job Title
Supervisor Name & Title
Describe the major job duties, responsibilities and nature of work performed
Reason for leaving
EMPLOYMENT HISTORY - EMPLOYER 3
Start Date
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End Date
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Starting Wage
Ending Wage
Company
Phone Number
OK to contact
Address
City
State
Zip
Job Title
Supervisor Name & Title
Describe the major job duties, responsibilities and nature of work performed
Reason for leaving
EMPLOYMENT HISTORY - EMPLOYER 4

Start Date
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End Date
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Starting Wage
Ending Wage
Company
Phone Number
OK to contact
Address
State
City
Zip
Job Title
Supervisor Name & Title
Describe the major job duties, responsibilities and nature of work performed
Reason for leaving
EDUCATION
HIGH SCHOOL
High School
City
State
Subjects/Major
Highest Year Completed
Type
Diploma/Degree Recieved
COLLEGE OR UNIVERSITY
College or University
City
State
Subjects/Major
Highest Year Completed
Diploma/Degree Recieved
GRADUATE SCHOOL
Graduate School
City
State
Subjects/Major
Highest Year Completed
Diploma/Degree Recieved
Type
TRADE OR BUSINESS SCHOOL
Trade/Business School
City
State
Subjects/Major
Highest Year Completed
Diploma/Degree Recieved
Type
LICENSES OR CERTIFICATIONS
Name/Type
Issued By
Issue Date
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Expiration Date
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Name/Type
Issued By
Issue Date
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Expiration Date
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Special skills, experience and/or training that would enhance your ability to perform the position applied for
Please list any equipment and/or computer skills you have
REFERENCES
Not related to you, whom you have known at least three (3) years.
Name
CONTACT INFO (Address/City/State/Zip) (Phone)
Occupation
Yrs Known/Relationship
.
Name
CONTACT INFO (Address/City/State/Zip) (Phone)
Occupation
Yrs Known/Relationship
.
Name
CONTACT INFO (Address/City/State/Zip) (Phone)
Occupation
Yrs Known/Relationship
UPLOAD YOUR RESUME
Upload Your Resume
Plain Text Resume
Do you agree to Acknowledgement Statement Listed Below?*
Do you agree to the Authorization Statement Listed Below?*
UserEmailAddress*