Employment • Long's Mattress

Personal Information

Your Full Name

Email Address *

Social Security Number *

Are you 18 or over? *

Yes

No

Phone Number *

Date of Birth

Do you have a valid driver's license? *

Yes

No

Current Address

Street Address

Street Address Line 2

City

Zip

State

Employment Desired

Desired Position

Desired Salary

Available Start Date *

Currently Employed?

Yes

No

Education History

High School

Did you graduate?

Yes

No

GED or High School Equivalent?

Yes

No

College or Trade School

Did you graduate?

Yes

No

Major / Minor

Previous Employment

List most recent first.

Employer 1

Name

Phone Number

Start Date

Supervisor

End Date

Duties

Reason for Leaving

Employer 2

Name

Phone Number

Start Date

Supervisor

End Date

Duties

Reason for Leaving

Employer 3

Name

Phone Number

Start Date

Supervisor

End Date

Duties

Reason for Leaving

General Information

Do you have experience driving a box truck?

Yes

No

Can you lift over 50 pounds?

Yes

No

Do you have sales experience?

Yes

No

Active Military? *

Yes

No

Upload Resume

Choose File

References

Please list up to three references.

Reference 1

Name

Phone Number

Reference 2

Name

Phone Number

Reference 3

Name

Phone Number

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By pressing the submit button, you are acknowledging that the information you have provided is true. Furthermore, you are giving LFW Inc. permission to conduct any background checks deemed appropriate to determine your suitability as a prospective employee.

Personal Information

Employment Desired

Education History

Previous Employment

Employer 1

Employer 2

Employer 3

General Information

References

Reference 1

Reference 2

Reference 3

Hours of Operation

Franklin – Long’s Furniture World & Mattress

Please visit any of our greater Indy mattress locations.