Burks Beverage/Broadcasting

 

Job Opening:  Merchandiser    Employee Type:  Regular Full Time    Note:  Must be 21 or older and have a clear MVR

Job Summary: Services major retail accounts.  Stocks shelves, fills coolers, builds displays.  May work weekends and holidays.

 

 

We consider applicants for all positions without regard to race, color religion, sex, national origin, age, marital or veteran status, disability or any other legally

protected status.      Note:  Passing a pre-employment drug screen is a condition of employment with Burks Companies.  This Application must be signed.                          

                                                                                                                       Personal Data

(Please Print)         Date_______________________        

                

Work phone # _______________  Cell Phone#______________ Home Phone #____________________ Email:___________________

 

                                                                                                                       Employment History

                                                                                                           Begin with Present or last Employer

 

 

 

 

Name_____________________________________________ Address_____________________________________________________

 

 City___________________________________       State______________ Zip_______________

 

Are you 21 years or older?____  Are you able to work overtime?______ On what date would you be available to start work?____________

 

Have you ever been employed with Burks Companies?_____  When?__________ Reason for Leaving?___________________________

 

Are you employed now?______    May we contact your present employer?______  

 

Are you a veteran of the U.S. Military Service? ___ If yes date of discharge____________________

 

Have you ever pled “guilty,”  “no contest”, or been convicted of a crime?_______________________

 

 Are you a U.S. Citizen, or do you have the legal right to employment? __________                                                            

                                          Application

Contact Us   Phone: 731-285-3671   Fax: 731-287-0328    Email: burkshr@burksb.com

From:___________        Employer:______________________________________ Phone #_______________________________

 

To:    ____________       Job Title: _______________________________________Supervisor:_____________________________

 

Work Performed:___________________________________________________________________________________________

 

Reason for Leaving_________________________________________________________________________________________

 

 

 

 

From:___________        Employer:______________________________________ Phone #_______________________________

 

To:    ____________       Job Title: _______________________________________Supervisor:_____________________________

 

Work Performed:___________________________________________________________________________________________

 

Reason for Leaving_________________________________________________________________________________________

 

 

 

 

From:___________        Employer:______________________________________ Phone #_______________________________

 

To:    ____________       Job Title: _______________________________________Supervisor:_____________________________

 

Work Performed:___________________________________________________________________________________________

 

Reason for Leaving_________________________________________________________________________________________

 

 

 

 

 

 

                                                                 Special Skills and Qualifications

 

Summarize and skills or qualifications you have acquired from past employment or experience: _________________________________________________________________

_____________________________________________________________________________________________________________________________________________

 

 

 

                                                                                                                       Education

High School and Location ____________________________ Did you Graduate?_______ If no, highest grade completed ______________________

 

Additional Education:  Date From and To __________________________Degree or Diploma Received___________________________________

 

Driver Applicants only:   Do you have a valid driver’s license?__ State__ License Number _________License Type _______ Expiration Date______

 

 

 

 

 

 

 

* As a condition of employment, I hereby voluntarily give my consent to Burks Beverage/Broadcasting Companies and it’s designated agents to perform

A drug screen for controlled substances.  Such testing will occur as a precondition to my being employed and anytime during my employment with

Burks Beverage/Broadcasting Companies.  I understand that refusal to submit to such testing may result in my termination.

 

Signature________________________________________________________________            Date___________________________________

 

 

 

 

 

 

                                                                                           Applicant’s Statement

· I certify that all information I have provided in order to apply for and secure work with this employer is true, complete and accurate.

· I authorize you to contact all references and investigate all statements contained in this application for employment as necessary in arriving at an employment decision

· I understand that neither this document nor any offer of employment from the employer constitutes an employment contract unless a specific document to that effect is executed by the employer and employee in writing.

· I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to (1) eliminate me from further consideration for employment, or (2) may result in my immediate discharge from the employer’s service whenever it is discovered.

· If I am hired, I understand that the employment relationship will be employment at will.  This means that both I and Burks Beverage Companies can terminate the relationship at any time without cause or notice.  The employment relationship is not based upon an expressed or implied contract for any specified duration of time.  Burks Beverage Companies reserves the right to change methods or amounts of compensation and/or benefits as well as all other terms of conditions and employment.  This employment at will relationship can only be altered by a writing executed by Burks Beverage/Broadcasting Companies and myself.

 

· I certify that I have read, fully understand and agree to the above terms and conditions.

 

Signature________________________________________________________________            Date___________________________________