Mountain Supply

Fittings
Hydronics
Irrigation
Pipe
Plumbing
Showroom
Well Supplies
Farm and Ranch
Septic, Sewage, Storage
Tool, Chemicals, Misc

Employment Application

Mountain Supply Welcomes You!

A Bit Of Our History:

Mountain Supply Company was started in 1960, and incorporated in 1961. The home office is located in Missoula, with branch stores in Bozeman and Billings. The corporation specializes in the sales and distribution of pumps, water systems, plumbing supplies, fixtures, pipe and fittings, sold both wholesale and retail. Sales territories include Montana, Northern Wyoming and Salmon, Idaho areas. There are approximately 50 people employed by the Company. The primary mission of Mountain Supply Company employees is customer service and to continually strive for customer satisfaction as they complete their job duties.

We are an Equal Opportunity Employer.

We consider applicants for all positions without regard to race, color, creed, religion, sex, national origin, age, marital or veteran status, the presence of a non-job-related medical condition or handicap, and any other legally protected status. It is our policy to abide by all Federal, State and local laws concerning discrimination in employment. No question in this application is intended to elicit information in violation of any such law nor will any information obtained in response to any question be used in violation of any such law.

Personal Information

Last Name:

First Name:

Middle Name/Initial:

Street Address:

City:

State:

Zip Code:

Phone:

Social Security Number (this field is protected upon submission):

Emergency Contact:

Emergency Contact Phone Number:

How many years at present address?

Driver's License Number (this field is protected on submission):

Wages Expected:

Date Available For Work:

Employed Now? Yes No

Work Options:

Full Time

Part Time

Temporary

Overtime

Position Applying For:

Education and Training

High School

Name and Location of School:

Course Of Study:

Number of Years:

Did You Graduate? Yes No

List the diploma or degree received.

College Or University

Name and Location of School:

Course Of Study:

Number of Years:

Did You Graduate? Yes No

List the diploma or degree received.

Trade School

Name and Location of School:

Course Of Study:

Number of Years:

Did You Graduate? Yes No

List the diploma or degree received.

Apprentice School

Name and Location of School:

Course Of Study:

Number of Years:

Did You Graduate? Yes No

List the diploma or degree received.

List any other education, training, special skills or certificates/licenses that you possess:

List any machines or equipment that you are qualified and experienced at:

Experience

List present and former employers beginning with most recent.

Company Name:

Type Of Business:

Phone Number:

Address:

Employed From (Month and Year):

Employed To (Month and Year):

Name and Title Of Supervisor:

May we contact this supervisor? Yes No

Was this a full-time position? Yes No

Job Title/Work Description:

Starting Wages:

Ending Wages:

Reason For Leaving:

Company Name:

Type Of Business:

Phone Number:

Address:

Employed From (Month and Year):

Employed To (Month and Year):

Name and Title Of Supervisor:

May we contact this supervisor? Yes No

Was this a full-time position? Yes No

Job Title/Work Description:

Starting Wages:

Ending Wages:

Reason For Leaving:

Company Name:

Type Of Business:

Phone Number:

Address:

Employed From (Month and Year):

Employed To (Month and Year):

Name and Title Of Supervisor:

May we contact this supervisor? Yes No

Was this a full-time position? Yes No

Job Title/Work Description:

Starting Wages:

Ending Wages:

Reason For Leaving:

Have you had any other experiences or qualifications in addition to those indicated above which relate to this job for which you are applying? If so, describe:

References

List business persons known, but not related to you, other than listed above.

Name:

Title:

Business:

Phone#

Years Known:

Name:

Title:

Business:

Phone#

Years Known:

Name:

Title:

Business:

Phone#

Years Known:

Name:

Title:

Business:

Phone#

Years Known:

Additional Employment Related Information

List any relatives or friends working for this organization:

Name:

Relationship:

Name:

Relationship:

Can you verify your legal right to work in the U.S. by providing a birth certificate, proof of U.S. Citizenship, or by some other means (Proof of U.S. Citizenship or immigration status is required upon employment): Yes No

Are you able to perform the job(s) for which you are applying? Yes No

Have you been convicted of a crime in the past 7 years which has not been annulled, expunged or sealed by a court? Yes No

If yes, please describe:

List previous addresses within the last 5 years.

I have lived at my current address for the last 5 years:

Street Address, City, State, and Zip Code):

From (month/year):

To (month/year):

Street Address, City, State, and Zip Code):

From (month/year):

To (month/year):

Street Address, City, State, and Zip Code):

From (month/year):

To (month/year):

Additional Remarks:

I hereby authorize Mountain Supply Co. to inquire as to my records with any or all of my former and/or current employers or references with no liability arising therefrom. I hereby guarantee the correctness of the above statements. The making of any false statements herein will be sufficient cause for dismissal. I also authorize investigation of all statements contained in this application. I understand that misrepresentation or omission of facts called for is cause for dismissal. If employed, I understand and agree that such employment may be terminated at any time, without prior notice, and that any employment will not be governed by any expressed or implied contract but is at-will.

By checking this box and typing my name below, I certify the above:

Applicant Name:

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