Background
Employment History
Please give accurate, complete full-time and part-time employment record. List your most recent employers first (up to 4).
Do Not Contact
We may contact the employers listed above unless you indicate those you do not want us to contact.
Additional Information
Membership in professional and civic organizations, special accomplishments, awards, etc.
(Exclude those which may disclose your race, color, religion, age or national origin)
Equal Employment Opportunity
Main Line Supply is an Equal Opportunity Employer. All applicants are considered for
employment without regard to race, color, religion, sex, national origin, age,
disability, genetic information, veteran status, or any other status protected by
applicable federal, state, or local law.
Applicant's Signature
Please read and understand this statement before signing your application:
The information I have provided in this Application for Employment is true, correct and
complete. False, incomplete or misrepresented information of any kind, will be sufficient
cause for my application to be rejected or, if discovered after I am employed, cause for
immediate termination of my employment.
I authorize the employer to contact and obtain information about me from previous
employers, educational institutions and “references” I provided, and any other
party necessary to verify the accuracy of information I disclosed in this application, a
related employment resume or a personal interview. To assist in the processing of my
Application, I waive all rights and claims I may otherwise have against the employer or its
representatives, for seeking, and using information to evaluate my employment request and
all other persons, corporations or organizations who provide information for this purpose.
This application will expire in 30 days. After that date, unless otherwise notified, I
understand that my status as an applicant will end. I may re-apply for employment in the
future by completing a new application.
This application is not an employment agreement. If I accept an offer of employment I
understand I may resign at any time, and the employer may terminate my employment at any
time, with or without cause and without prior notice, unless required by law. I understand
that no one, other than an executive officer of the employer, has authority to enter into
any employment agreement with terms contrary to the foregoing and then only in writing
signed by such officer.
I fully understand and accept all terms and conditions in the above statement.
