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Hemm's Glass
Glass Shop Piqua Ohio
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Career Opportunities
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Contact Us
Home
About Us
Our Work
Commercial & ACM Panels
Residential | Auto | Retail
Glass Repair
Emergency Glass Repair
Careers
Career Opportunities
Apply Online
Locations
Contact Us
Application Form
Online Application
R.C. Hemm’s Glass considers all applicants based upon personal capabilities and qualifications without regard to race, color, religion, sex, age, national origin, disability, veteran status or any other protected characteristic as established by law.
Section A: Personal Information
Complete all applicable information
Position Applying For
*
Shop Coordinator
Experienced Caulker
Construction Glass Glazier
Commercial Scheduler
Commercial Estimator
Superintendent
Project Manager
Name
*
First
Middle
Last
Address
*
Address
Strett
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP
Telephone Number (Primary)
*
Telephone Number (Secondary)
Email
Section B: General
Are you interested in:
*
Full-Time
Part-Time
Temporary
If offered a position, when are you available to start
*
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
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26
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28
29
30
31
Year
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
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1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
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1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Desired Annual Salary/Wages
How were you referred to us?
Newspaper
Radio
Employment Agency
Friend/Relative
Personal Inquiry
Are you legally authorized to work in the United States?
*
Yes
No
If hired, can you provide proof of your eligibility to work in the United States?
*
Yes
No
Are you 18 years of age or older?
*
Yes
No
Have you ever applied for employment with R.C. Hemm’s Glass before?
*
Yes
No
Provide the date of previous application
Date Format: MM slash DD slash YYYY
Has the company ever employed you before?
*
Yes
No
Provide the date of previous hire
Date Format: MM slash DD slash YYYY
Are you available to work overtime?
*
Yes
No
Do you have any friends or relatives working at R.C. Hemm’s Glass?
*
Yes
No
Who?
Driving Positions Only
Do you have a valid driver’s license?
Yes
No
Section C: Education
High School
Name and Location
Course of Study
Years Completed
1
2
3
4
Diploma
College
Name and Location
Course of Study
Years Completed
1
2
3
4
Diploma/Degree
Graduate School
Name and Location
Course of Study
Years Completed
1
2
3
4
Diploma/Degree
Other School
Name and Location
Years Completed
1
2
3
4
Course of Study
Diploma/Degree
Second D: Military Service
Were you in the military?
Yes
No
What Branch?
Air Force
Air Force Reserve
Air National Guard
Army
Army Reserve
Army National Guard
Coast Guard
Coast Guard Reserve
Marine Corps
Marine Corps Reserve
Navy
Navy Reserve
Rank at time of discharge
Have you had any job related training in the military?
Yes
No
Please describe
Section E: Employment History
List your last three employers, starting with your most recent one first.
Company Name (Most Recent)
Address
Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
Zip
Supervisor Name
Title of Supervisor
Phone
Last Position
Duties
Start Date
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
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
Year
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Wage/Salary
Other Compensation
(Bonus/Commission)
Reason for Leaving
Company Name
Address
Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
Zip
Supervisor Name
Title of Supervisor
Phone
Last Position
Duties
Start Date
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
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
Year
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Wage/Salary
Other Compensation
(Bonus/Commission)
Reason for Leaving
Company Name
Address
Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
Zip
Supervisor Name
Title of Supervisor
Phone
Last Position
Duties
Start Date
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
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
Year
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Wage/Salary
Other Compensation
(Bonus/Commission)
Reason for Leaving
Section F: Personal/Professional References
Do not include family members or past supervisors.
Name (Reference #1)
Phone
Best Time to Call
Morning
Afternoon
Evening
Occupation
Name (Reference #2)
Phone
Best Time to Call
Morning
Afternoon
Evening
Occupation
Name (Reference #3)
Phone
Best Time to Call
Morning
Afternoon
Evening
Occupation
Section G: Explanation of Gaps in Employment
Section H: Computer Programs
Please rank your skill set with the following computer programs
Microsoft Excel
*
Advanced
Intermediate
Beginner
No Experience
Microsoft Word
*
Advanced
Intermediate
Beginner
No Experience
Please list all other computer programs you have experience with and describe your skill set.
Please describe any training or specialized skills.
Section I: Applicant's Statement
Please read the following statements carefully:
I, the undersigned, understand that I am being considered as a potential employee of R.C. Hemm’s Glass and hereby certify that:
In consideration of my employment, I agree to conform to the policies and procedures of the Company. I understand that in accepting this application, R.C. Hemm’s Glass is in no way obligated to provide me with employment and that I am not obligated to accept employment if offered.
I understand that if I am hired, such hiring will not be for any definite period of time. Furthermore, I understand, that if I am hired, I will be an employee at-will and I can be terminated at any time, with or without cause and with or without notice.
I understand that my status as an at-will employee, and the terms and conditions of that employment cannot be changed except in writing and signed by the President of R.C. Hemm’s Glass.
I certify that the facts contained in this application are true and complete to the best of my knowledge. I understand that any falsified statements on this application or omission of fact on either this application or during the pre-employment process will result in my application being rejected, or, if I am hired, in my employment being terminated.
I also understand that any offer of employment is conditioned on the completion of pre-employment tests and documentation. I will, upon request, sign all necessary consent forms.
Signature of Applicant
*
Date
*
Date Format: MM slash DD slash YYYY
Phone
This field is for validation purposes and should be left unchanged.
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