Application for Employment
Thank you for your interest in applying for a position with us. Ashley HomeStore and FurnitureLand are Equal Opportunity Employers. We consider all applicants without regard to race, color, religion, sex, national origin, age, disability, veteran's status, marital status, genetic information, actual or perceived sexual orientation, or any other characteristic protected by federal, state, or local law.

This is a Drug Free Work Environment.
Employees and applicants are subject to drug testing and background investigations.
Last Name, First, Middle Date
Address Home Phone
City State Zip Alternative Phone
Have you ever been employed by Ashley HomeStore or FurnitureLand?  Yes No
If yes, month & year   Position 
Expected Compensation
Position Desired Days Available
If hired, can you provide documentation of your identity and eligibility for employment in the United States?  Yes No
If hired, you will be required to fill out an I-9 form.
School Name and Location of School Years
Did you graduate? Degree or Diploma Received/
Course of Study
High Yes No
College Yes No
Yes No
Other Yes No
List all special licenses, skills, and certifications that would assist you in performing the duties of the job for which you have applied:
Membership in professional or civic organizations (You may exclude those that disclose your race, color, religion, sex, national origin, ancestry, age, mental or physical handicap, citizenship status, marital status, or membership in any other protected class)
Have you ever been convicted of a crime?  Yes No
Have you been arrested for any reason that has not yet been resolved?  Yes No
If so, when? (A conviction will not necessarily disqualify any applicant.) To help us evaluate your application, please describe the nature of the crime and your subsequent rehabilitation.
Company Name Telephone
Address Employed (M/Yr) From:  To: 
Name of Manager Compensation Start:  End: 
Job Title/Description Reason for Leaving
Company Name Telephone
Address Employed (M/Yr) From:  To: 
Name of Manager Compensation Start:  End: 
Job Title/Description Reason for Leaving
Company Name Telephone
Address Employed (M/Yr) From:  To: 
Name of Manager Compensation Start:  End: 
Job Title/Description Reason for Leaving
List any other job related experiences, special training, skills, apprenticeships, internships, etc.
(Read carefully prior to submitting)
I certify that all answers given by me are true, accurate and complete. I understand that the falsification, misrepresentation or omission of facts on this application (or any other accompanying or required documents) will be case for denial of employment or immediate termination of employment, regardless of when or how discovered.

I understand that as part of the selection process, the Company may conduct a routine investigation concerning my employment background, criminal record and education and that continued employment is contingent upon satisfactory results. I also understand that the Company may require the successful completion of a urinalysis for drug testing purposes and/or a blood alcohol test as a condition of employment. By submitting this Application for Employment, I herby consent to either or both of said test, at the discretion of the Company.

I authorize the investigation of all statements and information contained in this application. I release from all liability anyone supplying such information and I also release the employer from all liability that might result from making an investigation. It is unlawful to require or administer to applicants for employment or prospective employment, or to any employee, a polygraph, lie detector, or similar test as a condition of employment or continued employment. Violation is punishable by criminal and civil penalties.

I understand that should an employment offer be extended to me and accepted, that I will be an at-will employee and that my employment and compensation may be terminated with or without cause, and with or without notice, at any time, at the option of either the Company or me. I understand that I must adhere to the policies, rules and regulations of employment of the Company. I further understand that no representation, whether oral or written by any representative or agent of the Company can constitute a contract of employment. I understand that the Company shall have the maximum discretion permitted by law to administer, interpret, modify, discontinue, enhance or otherwise change all policies, benefits, procedures of other terms or conditions of employment.

By clicking submit, you acknowledge that you have read and understand the above statements.

This Application for Employment is active for thirty (30) days from the date signed.
Consideration for employment after thirty (30) days requires a new application.