HUGG AND HALL EQUIPMENT APPLICATION FOR EMPLOYMENT EQUAL OPPORTUNITY EMPLOYER
We Only Accept Applications For Positions Posted! Do not fill this out if you don't know which position you are applying for.
Position(s) applied for: *	Enter the position you are applying for.
Personal Information Please fill out all fields. (fields with a red * are required fields and must be completed before you may submit this form)
Name (Last name, first name, Middle name) *
Address *	Street Address Address Line 2 City State / Province / Region Postal / Zip Code United States Country
Phone Number *	### - ### - ####
Email
Date *	1 2 3 4 5 6 7 8 9 10 11 12 MM / 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 DD / 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 YYYY
Location of position	Little Rock Springdale Fort Smith Camden Conway El Dorado Jonesboro Texarkana Choose the location you are applying to.
Social Security # *	Enter your Social Security Number
Have you ever been employed here before? *	Yes   No
If yes, give dates and positions	Enter the dates and positions you had with Hugg & Hall Equipment.
Are you legally eligible for employment in the United States? *	Yes   No
(Proof of citizenship or immigration status will be required upon employment)
When will you be available to begin work? *	1 2 3 4 5 6 7 8 9 10 11 12 MM / 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 DD / 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 YYYY
Pay expected	Enter the amount of pay that you expect to recieve.
Have you ever been convicted of a felony? *	Yes   No
If you have been convicted of a felony, state the nature of the conviction (Conviction will not necessarily disqualify an applicant for employment, all circumstances will be considered)
Education
Graduate School Name & location
Number of years completed
Did you graduate	Yes   No
Degree attained
College Name & location
Number of years completed
Did you graduate	Yes   No
Degree attained
Trade School Name & location
Number of years completed
Did you graduate	Yes   No
Certification attained
High School Name & location
Number of years completed
Did you graduate	Yes   No
Employment (Start with most recent employer)
Company Name
Address	Street Address Address Line 2 City State / Province / Region Postal / Zip Code United States Country
Phone Number	### - ### - ####
Employed from date
Employed to date
Supervisor Name and Phone Number
State Job Title and Describe your work
Monthly pay starting
Monthly pay ending
Reason for leaving
Please check this box if you do not want your current employer contacted	Do not contact my previous employer
Employer 2
Company Name
Address	Street Address Address Line 2 City State / Province / Region Postal / Zip Code United States Country
Phone Number	### - ### - ####
Employed from date
Employed to date
Supervisor Name and Phone Number
State Job Title and Describe your work
Monthly pay starting
Monthly pay ending
Employer 3
Company Name
Address	Street Address Address Line 2 City State / Province / Region Postal / Zip Code United States Country
Phone Number	### - ### - ####
Employed from date
Employed to date
Supervisor Name and Phone Number
State Job Title and Describe your work
Monthly pay starting
Monthly pay ending
Employer 4
Company Name
Address	Street Address Address Line 2 City State / Province / Region Postal / Zip Code United States Country
Phone Number	### - ### - ####
Employed from date
Employed to date
Supervisor Name and Phone Number
State Job Title and Describe your work
Monthly pay starting
Monthly pay ending
Employer 5
Company Name
Address	Street Address Address Line 2 City State / Province / Region Postal / Zip Code United States Country
Phone Number	### - ### - ####
Employed from date
Employed to date
Supervisor Name and Phone Number
State Job Title and Describe your work
Monthly pay starting
Monthly pay ending
Important Answer below
Have your ever been discharged or asked to resign? *	Yes   No
If you answered yes to the previous question, please explain.
Personal References
Personal reference: Name, telephone number and relationship
Personal reference: Name, telephone number and relationship
Personal reference: Name, telephone number and relationship
Digital Signature PLEASE READ CAREFULLY
Type your full name *
Pre-employment Drug Testing Policy Consistent with this company's policy opposing drug abuse, we have implemented a pre-employment drug testing policy. All job applicants at Hugg & Hall Equipment will undergo testing as a condition of employment. Applicants will be required to voluntarily submit to a drug test at a collection site chosen by the company, and will be asked to sign a consent agreement which will release the company from liability. Any applicant with positive test results will be denied employment. The company will not discriminate against applicants for employment because of past abuse of alcohol and other substances. It is the current abuse of drugs and other substances which prevents employees from properly performing their jobs that the company will not tolerate.
ARKANSAS CLEAN INDOOR AIR ACT OF 2006 20-27-1804 Prohibitions on smoking. (b)(1)Smoking is prohibited in all public places and enclosed areas within places of employment including, but not limited to A) Common work areas B) Auditoriums C) Classrooms D) Conference and meeting rooms E) Private offices F) Elevators G) Hallways H) Health care facilities I) Cafeterias J) Employee lounges K) Stairs L) Restrooms M) All other enclosed areas (2) An individual, person, entity, or business subject to the smoking prohibitions of this section shall not discriminate or retaliate in any manner against a person for making a complaint of a violation of this section or furnishing information concerning a violation to a person, entity, or business or to an enforcement authority.
By checking I agree below, I hereby certify that the facts or responses in this application are true, correct, and complete. I understand and agree that, if I am employed, any misrepresentations or omission of fact in this application whenever discovered, shall be cause for rejection of this and subsequent applications and for discipline, including immediate discharge. The company has my permission to obtain all necessary information from the references I have listed; concerning my prior employment and personal history. I further agree and acknowledge that if I am offered employment and accept such employment, that it is not for a specific term, and that my employment can be terminated at will, by either myself or my employer. I understand that this application will remain current for only 60 days. Following that date, to assure consideration for a position, a new application must be completed. I certify that I am a genuine applicant for employment and that this Application is submitted solely for the purpose of employment with Hugg and Hall and for no other reason.
*	I agree
Reference Consent Form By checking I agree below, I hereby give consent to any and all prior employers of mine to provide the following information with regard to my employment with prior employers to Hugg and Hall Equipment. This consent is given in accordance with Act 1474 of 1999 of the General Assembly of the state of Arkansas: (a) date and duration of employment; (b) current pay rate and wage history; (c) job description and duties; (d) last written performance evaluation prepared before the date of the request; (e) attendance information' (f) results of drug or alcohol tests administered within one year before the request; (g) threats of violence, harassing acts, and/or threatening behavior related to the workplace or directed at another employee; (h) whether the employee was voluntarily or involuntarily separated from employment and the reason for the separation; and (i) whether the employee is eligible for rehire.
*	I agree
Date	1 2 3 4 5 6 7 8 9 10 11 12 MM / 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 DD / 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 YYYY
INVITATION TO VETERANS OF THE VIETNAM ERA AND/OR THE DISABLED To: Employees and Applicants for Employment Hugg and Hall Equipment has affirmative action programs for persons with disabilities, disabled veterans, and veterans of the Vietnam era. The programs are in accordance with Section 503 of the Rehabilitation Act of 1973, as amended; and with Section 402 of the Vietnam Era Veterans Readjustment Assistance Act of 1974. If you are an employee or applicant and have any physical or mental disability and believe you qualify under the provisions of either of these Acts, please tell us. Submission of this information is voluntary, and refusal to provide it will not subject you to discharge or disciplinary treatment. You may notify us at the time you apply for employment or at any future time. If you decide to advise us of your disability, the information you provide will be used only in accordance with the requirements of the Acts. Such information will be kept confidential except for: (1) restrictions on your work duties and any accommodations may be communicated to your supervisors and managers, (2) first aid and safety personnel may be informed so they can properly handle emergencies, and (3) federal compliance officers may be informed pending any compliance reviews. Should you decide to advise us of your disability, please also state your suggestions as to how your disability may be reasonably accommodated. A copy of our Affirmative Action Plan may be inspected during normal business hours by contacting the Human Resources Department.
VOLUNTARY APPLICANT DATA RECORD Hugg and Hall Equipment is an Equal Opportunity Employer. We do not discriminate in hiring or employment because of race, color, creed, national origin, sex, age, disability, genetic information or veteran status. Various government agencies request statistical information regarding our hiring practices. Your cooperation in completing this section is completely voluntary. Any information gathered is strictly confidential. Your answers will in no way be used against you. Thank you for your cooperation.
Please Specify Your Gender	Male   Female   I choose not to disclose
Hispanic or Latino	No   Yes
Please Specify Your Race (Check all that apply)	White   Black or African American   Native Hawaiian or Other Pacific Islander   Asian   American Indian or Alaskan Native   I choose not to disclose
How did you learn about the position?	Newspaper Ad   Recruiter   Company Website   Current Employee
Referring employee name
This application is the property of Hugg and Hall Equipment. Incomplete applications are not considered. Completion of an application does not indicate a position is promised or employment offered.
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