We are an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including race, color, age, sex, religion, handicap or national origin.

Please complete the form below, to apply online or click to download a pdf.

Application for Employment

    Personal Information

  • Employment Desired

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    Grammar School

  • High School

  • College

  • Trade, Business or Correspondence School

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General Information

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Former Employers

  • - Name of Employer
    - Date Range of Employment
    - Address of Employer
    - Salary (upon leaving)
    - Position
    - Reason for leaving


  • Name, Address, Position, and Years Acquainted
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  • I certify that the facts contained in this application (and accompanying resume, if any) are true and complete to the best of my knowledge. I understand that any false statement, omission, or misrepresentation on this application is sufficient cause for refusal to hire, or dismissal if I have been employed, no matter when discovered by Holt Supply.

    I understand that any employment is conditioned on a background check. I authorize Holt Supply to thoroughly investigate all statements contained in my application or resume, and I authorize my former employers and references to disclose information regarding my former employment, character and general reputation to Holt Supply, without giving me prior notice of such disclosure. In addition, I release Holt Supply, any former employers and all references listed above from any and all claims, demands or liabilities arising out of or related to such investigation or disclosure.

    I understand and agree that nothing contained in this application, or conveyed during any interview, is intended to create an employment contract. I further understand and agree that if I am hired, my employment will be "at will" and without fixed term, and may be terminated at any time, with or without cause and without prior notice, at the option of either myself or Holt Supply. No promises regarding employment have been made to me, and I understand that no such promise or guarantee is binding upon Holt Supply unless made in writing.

    If I am offered employment I agree to submit to a medical examination and drug test before starting work. If employed, I also agree to submit to a medical examination or drug test at any time deemed appropriate by Holt Supply and as permitted by law. I consent to such examinations and tests, and I request that the examining doctor disclose to Holt Supply the results of the examination, which results shall remain confidential and segregated from my personnel file. I understand that my employment or continued employment, to the extent permitted by law, is contingent upon satisfactory medical examinations and drug test, and if I am hired a condition of my employment will be that I abide by Holt Supply's Drug and Alcohol Policy.

    I understand that filling out this form does not indicate there is a position open and does not obligate Holt Supply to hire. If hired, I agree to abide by all work rules, policies and procedures. Holt Supply retains the right to revise its policies or procedures, in whole or in part, at any time.



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