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Job :
Or enter a job for future consideration:
Desired location (check all that apply):	Attleboro Braintree Fall River Hyannis N.Dartmouth S.Kingstown Swansea W.Warwick Westerly Hanover Johnston Cranston Orleans Falmouth Woonsocket Raynham Middletown Providence Plymouth Weymouth
Personal Data:
First Name
Last Name:
E-mail address:
Street Address:
City:
State:
Zip Code:
Home Phone :
Alternate Phone :
Please indicate the hours that you are available each day: Leave un-available days blank.	Monday to Tuesday to Wednesday to Thursday to Friday to Saturday to Sunday to
What capacity of work are you applying for? :	Full Time Part Time Seasonal
Desired Shift (Check all that apply) :	First Shift Second Shift Third Shift Weekends Holidays
• Have you submitted an application to us before? :	Yes No If yes, when?
• Have you ever been employed by Cardi's / RIDC before?:	Yes No If yes, when, where and in what capacity?
• How did you learn about us?:	Ad Walk-In Friend, Relative Other Name of Friend or Relative and relation.
• Can you provide proof of citizenship, visa, or alien status after being hired?:	Yes No
• Are you under 18 years of age?:	Yes No If yes, please state your age.
• Have you ever been disciplined, suspended, or involuntarily terminated by an employer?:	Yes No If yes, state employer & explain.
Sales Questions:
• Have you ever worked on a retail sales floor?:	Yes No Not applying for sales If yes, where?
• Have you ever sold furniture before?:	Yes No Not applying for sales If yes, where?
• Have you ever worked 100% commission?:	Yes No Not applying for sales If yes, where?
• Do you have computer or typing experience?:	Yes No
• Are you familiar with the keyboard?:	Yes No
Education:
Please list name and location of school(s), degree received and year graduated. Examples would be high school, college, military service, business or trade schools.:
Employment History:
Please provide accurate and complete full time and part time employment record for your last three (3) positions. Start with most recent position. Information requested below even if included on resume must be completed.
Position #1:
• Name of current employer?:
• Address:	State:
• Telephone #:
• May we call you at this number?:	Yes No
• May we contact this employer prior to any offer?:	Yes No
• Date Started:
• Starting Wage/Salary:
• Starting Position:
• Date Ended:
• Ending Wage/Salary?:
• Last (Current) Position:
• Name & Title of Supervisor:
• Reason for Leaving:
• Brief description of your responsibilities (include number of employees you supervised, if applicable):
Position #2:
• Name of current employer?:
• Address:	State:
• Telephone #:
• May we call you at this number?:	Yes No
• May we contact this employer prior to any offer?:	Yes No
• Date Started:
• Starting Wage/Salary:
• Starting Position:
• Date Ended:
• Ending Wage/Salary?:
• Last (Current) Position:
• Name & Title of Supervisor:
• Reason for Leaving:
• Brief description of your responsibilities (include number of employees you supervised, if applicable):
Position #3:
• Name of current employer?:
• Address:	State:
• Telephone #:
• May we call you at this number?:	Yes No
• May we contact this employer prior to any offer?:	Yes No
• Date Started:
• Starting Wage/Salary:
• Starting Position:
• Date Ended:
• Ending Wage/Salary?:
• Last (Current) Position:
• Name & Title of Supervisor:
• Reason for Leaving:
• Brief description of your responsibilities (include number of employees you supervised, if applicable):

Pre-Employment Inquiry Release:

IF APPLYING FOR A POSITION IN MASSACHUSETTS: Public laws 91-508 requires that we advise you that a routine inquiry may be made that will provide applicable information concerning character, general reputation, personal characteristics and mode of living. On written request, additional information as to the nature and scope of the report, if one is made, will be provided.
IF APPLYING FOR A POSITION IN RHODE ISLAND: This is to advise you that R.I.General laws. 6-13.1-21 requires that we advise you that a routine inquiry may be made that will provide applicable information concerning character reputation, personal characteristics and mode of living. I authorize Cardi's Furniture/Thomasville Home Furnishings/The Rhode Island Design Center to inquire of the Attorney General's office as to my criminal history.
GENERAL INFORMATION FOR ALL APPLICANTS: The information provided in this Application for Employment is true, correct and complete. If employed, any misstatement or omission of fact on this application may result in my dismissal. I understand that acceptance of an offer of employment does not create a contractual obligation upon the employer to continue to employ me in the future, and I may be terminated with or without notice or cause. I hereby authorize any past or present employer, administrator, personal history, workers' compensation claims or criminal history to provide the holder of this document with any such information. A facsimile (FAX) or a copy of this authorization shall be as valid as the original. Permission is granted for information to be released by any state agency including, but not limited to, The Department of Labor, Workers' Compensation Division. According to the FAIR CREDIT REPORTING ACT, I am entitled to know if insurance or employment is denied because of information obtained by my prospective employer from a Consumer Credit Reporting Agency. I will be so advised and be given the name of the reporting agency or source of information. The information obtained from these reports will only be used for assistance in the hiring decision and will not be disclosed to any other person.
I hereby acknowledge that I have read, understand and consent to the above statement. Please consent by typing your full legal name.

Company Policy on Drug Testing:

GENERAL: This statement of policy prohibits the unlawful manufacture,use, influence, possession, sale, purchase, distribution, or offer to manufacture, sell, purchase, hold, or distribute alcohol, controlled substances, or drugs by any employee during work hours or at any time while on Company premises. Random drug testing of Company drivers of Company vehicles are managed by Department of Transportation guidelines and an independent testing service. Drugs and alcohol include any and all substances or medications that will alter one or more bodily functions, such as coordination reflexes, vision, mental capacity, or judgment, whether they are available over the counter, by prescription, or otherwise.
PRE-EMPLOYMENT SCREENING: All pre-employment screening will be performed pursuant to and in compliance with the law of RI or MA as applicable. The Company requires all job applicants to submit to pre-employment drug-screening test if the applicant receives an offer of employment conditioned on a negative test result. After the application is submitted, the hiring manager will make a determination as to their interest in interviewing the applicant for a position. After the interviewing process, a determination will made whether to make an offer of employment. If the job applicant has been given an offer of employment conditioned on the applicant receiving a negative test result, the applicant will be contacted and asked to submit to the pre-employment drug-screening test. Pre-employment screenings help reduce the chance of hiring individuals who currently use illegal drugs or individuals who use legal drugs in an illegal manner or alcohol at times on in amounts that would indicate a potential for unsafe work performance. Failure to submit to the test will result in disqualification from further consideration for employment. When reporting to the medical facility for drug testing, an applicant must present a valid picture identification. We regret any inconvenience this may pose for those individuals who do not use or abuse drugs or alcohol. However, we hope that you will share in our concern for a safe and healthy work environment that cannot be achieved when workers are using drugs and or alcohol at the work site.:
POST-EMPLOYMENT TESTING: Massachusetts Employees: a random testing is done for distribution center and maintenance staff due to the need for continued safety in these areas. Heavy equipment is operated in these areas on a daily basis, and the safety of the employees, customers, or others may be at a significant risk, or there may be significant risk of corporate liability or of damage to property. Employees will be randomly tested throughout their employment.Rhode Island Employees: if reasonable grounds exists of drug or alcohol use, the employee may be subject to a post-employment drug and alcohol screening test. (All testing will be performed pursuant to and in compliance with R.I.G.L.28-6.5-1) Upon such an event, the employee will be requested to submit to a drug and alcohol screening test. Failure to submit to the test or positive results will result in disciplinary action, up to and including termination from employment. I understand that signing this form acknowledges that I have read and understood the company's drug testing policies and that I have received a copy of this policy for my records.:

DRUG TESTING CONSENT FORM: I have read the company statements on pre-employment and post-employment drug testing and understand that all current employees and job candidates who have been offered a position must submit to controlled substance testing when requested. I further understand that the offer of employment is conditioned on a negative test result. Additionally, I understand that current employees in distribution and maintenance positions in the Rhode Island locations may be tested when reasonable grounds exists and that all personnel in these positions in the Massachusetts facilities may be randomly selected for testing. I understand that a urine sample will be collected and tested for controlled substances. The results of my urinalysis will be released only to those people authorized. No further release of the results of my urinalysis will be made without my written authorization. Understanding the above, I agree to a controlled substance urinalysis. Please consent by typing your full legal name.:

Consumer Credit Check:

This notice is to inform you that as part of our application screening process, we request a copy of your consumer credit report from Equifax Inc. (A Consumer Reporting Agency). The following disclosure of your rights is being given to you as part of the Federal Trade Commission's requirement regarding notification that when consumer credit reports are being used as part of application screening processes, the consumer needs to be explicitly notified of their rights in relation to the Fair Credit Reporting Act. In order to obtain this report, we must obtain from each applicant their written authorization to obtain or procure a consumer report relating to the specific consumer. Please sign this notice below and retain the following -Summary of Your Rights Under the Fair Credit Reporting Act- for your records. I authorize Cardi's Furniture/Thomasville Home Furnishings/The RI Design Center to obtain a consumer credit report. I understand that according to the Fair Credit Reporting Act, I am entitled to know if employment is denied because of information obtained by my prospective employer from a Consumer Reporting Agency. I will be so advised and be given the name of the reporting agency or source of information.:
I hereby acknowledge that I have read, understand and consent to the above statement. Please concent by typing your full legal name.:

By clicking submit, you are agreeing to all terms and conditions mentioned above as well as all information you have provided us.

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