Job Application Personal Information Name Address Contact Information Email Phone Why do you want to work at Cottin's Hardware & Rental? Available Start Date Preferred Pronouns Desired Pay Range Are you currently employed? yesno Education High School Name and Location Dates Attended College Name and Location Dates Attended Major Subjects or Degree Specialized Training Trade School, Etc. Name and Location Dates Attended Major Subjects or Degree Other Education Name and Location Dates Attended Major Subjects or Degree Please list your areas of highest proficiency, special skills, or other items of interest that may contribute to your abilities to work at Cottin’s Hardware & Rental. Work Experience Please list beginning from most recent Employer 1 Dates of Employment Company Name Location Role/Title Job notes, tasks performed and reason for leaving: Employer 2 Dates of Employment Company Name Location Role/Title Job notes, tasks performed and reason for leaving: Employer 3 Dates of Employment Company Name Location Role/Title Job notes, tasks performed and reason for leaving: Personal Referencecs (not relatives) Personal Reference 1 Name Company Phone Personal Reference 2 Name Company Phone Personal Reference 3 Name Company Phone