Today's Date:

Position Desired:

Personal Information

Full Name (First, Middle, Last):

What is your email Address?

What is your present street address?

How many years have you lived at this address?

What phone number can you be reached at?

Are You at least 18 years old?

Have you ever been convicted of a crime or are you presently charged with a felony?


If so, where and when, please explain the circumstances.

Work Avalailability

How many hours are you avaliable per week?

What is your desired salary or hourly wage?

Do you have any commitments to another employer that might effect your employment with us?

Do you have any activities, commitments, or responsibilities ( for example, school, transportation, other employment, etc.) which might in any way interfere with your ability to work full-time, including overtime, in the position for which your are applying?

If yes, explain.

Work in our stores may require Associates to work in cold conditions (coolers and out of doors during the winter) and dusty conditions. Can you perform work in these conditions with or without an accommodation?

Most of our stores operate on a 7 day/24 hour operation (including holidays). Are you available for work any day of the week and any time of the day with or without an accommodation?

Please list the hours you are avaliable per day below. If you are unavaliable on some days please write "unavaliable" in that day.

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Education/Course of Study

What was your last grade completed in high school?

What were your average grades?

What is the name and location of your school?

What was your last year of college, tech, or business school?

Did you graduate?

What were your average grades?

What was your major of study?

What is the name and location of your school?

Work History/ Military Experience

( List all past periods of employment with most recent first.)

Employer 1
List: Date of Employment, Name of company, Address, Name of Supervisor, Type of Business, Job Description, Wage or Salary, and Reason for Leaving.

Employer 2
List: Date of Employment, Name of company, Address, Name of Supervisor, Type of Business, Job Description, Wage or Salary, and Reason for Leaving.

Employer 3
List: Date of Employment, Name of company, Address, Name of Supervisor, Type of Business, Job Description, Wage or Salary, and Reason for Leaving.

Employer 4
List: Date of Employment, Name of company, Address, Name of Supervisor, Type of Business, Job Description, Wage or Salary, and Reason for Leaving.

Are you employed now?

If yes, may we inquire of your present employer?

Have you applied to Wesco before?

If yes, where and when?

Have you been employed by Wesco before?

Do you have friends or family that are employed by Wesco?

If yes, who?