To be considered for employment please fill out completely and submit this online application. Submitting this form is not a guarantee of employment or that a position is open. We keep all applications on file for six months. If you do not hear from our HR department within this period, please re-submit this application. You must agree to the EEO Terms and Conditions to be considered for employment.

We consider applications for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, or any other legally protected status.

Position(s) Applied For:

How did you hear about us? Advertisement Friend Walk-In Employment Agency Relative or Other:

On what date would you be available for work?:

On what date would you be available to start?:

Full Name:

If you are under 18 years of age, can you provide required proof of eligibility to work?  YES   NO

Phone Number:

2nd Phone:

E-mail Address:

Have you ever worked under another name? Yes No

If yes, enter name(s)? Current Address:

Street:

City:

State:

Zip:

Have you ever applied with us before? Yes No If so, when?

Were you ever employed with us before? Yes No If so, when?

Are you currently Employed? Yes No

May we contact your current employer? Yes No

Are you currently on "Lay-Off" status and subject to recall? Yes No

Are you allowed to work in the US? Yes No

Are you available to work Full Time? Yes No

Have you been convicted of a Felony in the last 7 years? Yes No If yes, please explain:

Please list your most RECENT employment FIRST

Company 1:

Position Title:

Address:

Supervisor Name:

Employer Phone:

May We contact this Employer? Yes No

Primary Duties:

Start Date:

End Date:

Starting Salary:

Ending Salary:

Reason for Leaving:

Company 2:

Position Title:

Address:

Supervisor Name:

Employer Phone:

May We contact this Employer? Yes No

Primary Duties:

Start Date:

End Date:

Starting Salary:

Ending Salary:

Reason for Leaving:

Company 3:

Position Title:

Address:

Supervisor Name:

Employer Phone:

May We contact this Employer? Yes No

Primary Duties:

Start Date:

End Date:

Starting Salary:

Ending Salary:

Reason for Leaving:

Education

Name/Location:

Major/Course

Type of Degree

High School:

Last Year Completed: 9th 10th 11th 12th

Graduated? Yes No

Name/Location

Major/Course

Type of Degree

College:

Last Year Completed:

1st 2nd 3rd 4th

Graduated?

Yes No

Name/Location

Major/Course

Type of Degree

Grad School:

Last Year Completed:

1st 2nd 3rd 4th

Graduated?

Yes No

Name/Location

Major/Course

Type of Degree

Other:

Last Year Completed:

1st 2nd 3rd 4th

Graduated?

Yes No

List 3 Business or Education References that are not related to you:

Name:

Phone:

Yrs Known:

Name:

Phone:

Yrs Known:

Name:

Phone:

Yrs Known:

Wage / Salary Requirements

Additional Information - Other Qualifications: Summarize special job related skills and qualifications acquired from employment or other experience.

Add me to your email list I have read, understand, and agree to the terms and conditions to be considered for employment. I also understand that by applying online does not guarantee that there is a position open or that I will be hired. Thank you for your interest in employment opportunities with Boardman Medical Supply.

EQUAL OPPORTUNITY EMPLOYER M/F/D/V

STF, Inc. and its subsidiaries, does not discriminate on the basis of race, religion, age, gender, national origin or disability.

POST-OFFER, PRE-EMPLOYMENT BACKGROUND CHECKS, PHYSICALS AND DRUG TESTING REQUIRED FOR EMPLOYMENT

INCOMPLETE APPLICATIONS FOR EMPLOYMENT WILL NOT BE CONSIDERED

APPLICATIONS FOR POSITIONS THAT ARE NOT AVAILABLE AT THE TIME YOU APPLY WILL NOT BE CONSIDERED  

NOTICE:
TITLE 15 OF THE U.S. CODE, SECTION 1681 AND FOLLOWING, REQUIRE THAT WE ADVISE YOU THAT ROUTINE INQUIRY MAY BE MADE WHICH WILL PROVIDE APPROPRIATE INFORMATION REGARDING CHARACTER, GENERAL REPUTATION AND PERSONAL CHARACTERISTICS. UPON WRITTEN REQUEST, ADDITIONAL INFORMATION AS TO THE NATURE AND SCOPE OF THE REPORT, IF ONE IS MADE, WILL BE PROVIDED.

I UNDERSTAND THAT THIS APPLICATION WILL BE ACCEPTED BY THE COMPANY SUBJECT TO THE FOLLOWING CONDITIONS:

1.    I voluntarily give the Employer the right to conduct a complete background investigation and agree to cooperate in such investigation. I authorize schools, references, prior employers and physicians and other medical practitioners, as needed, to provide my records, reasons for leaving employment and any other information concerning me to the company. I release such parties from all liability for claims for damages, which I may or shall have against them for supplying such information.

2.    I consent to take a post-offer drug test and physical. An offer of employment may be contingent upon passing a post-offer drug test and physical. A provider selected and paid for by the Company will conduct the drug test at the Company's expense. As long as I stay with the company 90 days.

3.    If employed, I agree to comply with all Company rules and use protective clothing or equipment as required by the Employer.

4.    I further understand that any misrepresentation or omission of requested information by me on this application or any supplement thereto, or in connection with the above-mentioned investigation, will be sufficient grounds for immediate discharge, even if discovered after I am employed. I further understand that causing others to misrepresent information on my behalf in relation to the investigation shall also be grounds for dismissal.

5.    I hereby agree that, if employed, I will not divulge any information confidential to this Company or any of its subsidiaries or affiliates while employed or at anytime thereafter.

6.    I agree that, if employed, I will be an employee at will. Accordingly, either the company or I may terminate the employment relationship at any time, for any reason, or no reason.

7.    I understand and agree that I must produce applicable documents showing that I am a United States citizen or alien lawfully authorized to work in the United States, within the time frame specified by the Company and to meet the Immigration Reform and Control Act of 1986 requirements. If I fail to comply with any of the requirements set forth above, I understand that an offer of employment will be rescinded or my employment will be terminated.