289 N Kurzen Road
Dalton, OH 44618
Job Application Email: email@example.com
Lehman's does not discriminate on the basis of religion, race, color, national origin, age,
gender, veteran status, pregnancy, childbirth or disability.
First Name M iddle Name/Initial Last Name
Street City State Zip
PO Box City State Zip
Home Phone Cell Phone Email address
Type of work desired: (number in order of preference, 1,2, and 3) Today's Date: _______________________
[ ] Regular Full Time – 32+ hours per week, year round
[ ] Part Time – Less than 32 hours per week, year round
[ ] Provisory (Seasonal) – per assignment length
Available start date __________________________
Days I can work: (check all that apply). Note: Many of Lehman's retail positions require Saturday work.
If you are unable to work Saturdays, it might limit your opportunities.
[ ] Monday [ ] Tuesday [ ] Wednesday [ ] Thursday [ ] Friday [ ] Saturday
[ ] I am a student. [ ] I am available to work days during the school season.
School Name and Location Circle last year Did you graduate? Subjects studied and degrees
5 6 7 8 [ ] Yes [ ] No
9 10 11 12 [ ] Yes [ ] No
1 2 3 4 5 6 6+ [ ] Yes [ ] No
Trade, Business or Correspondence:
1 2 3 4 4+ [ ] Yes [ ] No
The following job summaries list general duties, qualifications\requirements for entry level positions.
The summaries are not complete job descriptions.
Place a check mark in the box for the position(s) that interest you.
Cashier (Kidron Store) Retail Stocker (Kidron Store)
Friendly, calm, customer service oriented person Friendly, customer service oriented individual who
who enjoys working with the public. Scans enjoys helping others. Duties include pricing
customer purchases with point of sale computer, merchandise for stocking store shelves and operating a
processing cash, check, and credit card forklift when needed (will train and certify qualified
transactions, and bagging merchandise. Basic individuals). Basic computer skills (keyboarding)
computer skills (keyboarding) helpful. Cashiers helpful. This position requires consistently lifting 10 –
stand in confined area for most of the work day. 20 lbs, and heavier packages intermittently; stockers
stand\walk for the majority of the work day.
Major Product Sales (Kidron Store) Cycle Counter (Kidron Store)
Learns the features of Lehman's line of major Friendly person with good math, attention to detail,
appliances and assists our customers. Basic and organization skills. Counts store inventory daily,
computer and good math skills helpful. Position trouble shoots inventory problems, uses computer for
requires standing for the majority of the work daily\weekly reports. Cycle counters stand\walk for the
day. Friendly, outgoing, approachable customer majority of the work day and are constantly lifting,
service person who enjoys helping others. reaching, stooping, bending, twisting, and reaching
overhead. Must enjoy working with the public.
Stove Installer (Kidron Store) Food Server (Kidron Store)
Works with a crew to install Lehman's line of wood Prepares and serves food for the Cast Iron Cafe
cooking and heating stoves for retail customers. customers in a cafeteria style setting. Friendly, calm,
Requires a clean driving record, forklift customer service oriented person who enjoys working
certification (will train and certify qualified with the public. Helps to keep cafe area clean and
individuals), ability to position heavy complies with Health Food Regulations. Runs register
stoves\appliances, mechanical aptitude and and makes change. Must be able to work opening and
reasoning. This position may work longer hours closing positions as scheduled.
during the stove installation season (normally
October - January).
Picker/Packer/Finished Goods (Dalton Customer Service Representative (Dalton
Pushes and fills a 4-tier cart following pick ticket Answers the phone and takes orders from Lehman's
instructions, locates, pulls, and packages items Direct Sales customers. Enters orders in the computer;
for Lehman's Direct Sales customers. Uses a answers product questions, solves delivery\customer
computer to calculate package weight, ship questions, etc. Requirements: above average/accurate
method, etc. Basic computer skills helpful.This keyboarding skills, pleasant/friendly individual who
position requires standing, bending, twisting, enjoys talking on the telephone. CSRs sit in cubicles in
reaching, overhead lifting, and other physical a pleasant, open office setting.
activity. Above average accuracy and speed
required. Pickers stand\walk for the majority of
the work day.
Receiver/Picker (Dalton Warehouse) Stocker (Dalton Warehouse)
Receives, counts, and stocks incoming Double checks inventory merchandise counts
merchandise; picks and pulls inventory for transferred from Receiving to Direct Sales, and stocks
transfers to other locations. This position requires merchandise on Packing Department shelves. This
standing, bending, twisting, reaching, overhead position requires standing, bending, twisting, reaching,
lifting, and other physical activity. Forklift overhead lifting, and other physical activity. Above
certification required.(Will train and certify average speed and accuracy required. Forklift
qualified individuals.) certification required.(Will train and certify qualified
If you are applying for a job other than those listed on How did you learn about the position you are applying for?
page 2, please specify below:
Please list all studies, training, certificates, and job Please list relatives/friends who work at Lehman's.
skills, including life skills that reflect the self sufficient
lifestyle promoted by Lehman's unique line of products
(canning, heating with wood, gardening, etc). ________________________________________ _________
Are you presently authorized to work in the United States
______________________________________________ on a Full Time basis?
______________________________________________ [ ]Yes [ ]No
______________________________________________ H ave you ever been convicted of a felony?
______________________________________________ [ ] Yes [ ] No If yes, explain:
______________________________________________ _____________________________________ _________
Computer programs: ____________________________
______________________________________________ List three people not related to you whom you have known
______________________________________________ for at least one year:
Key boarding words per minute: ___________________ Name Phone Number
[ ] I smoke [ ] I do not smoke
List below your last (3) employers, beginning with the most current
Beginning & Employer's Name, Name to Contact Wage/Salary Last
Ending Dates Address, Telephone No. for Reference Upon Leaving Position Held Reason for Leaving
List professional or trade organizations to which you belong that are relevant to the
job position for which you are applying.
I certify that the facts set forth in the above employment application are true and complete, to the best
of my knowledge. I understand that if employed, falsified statements on the application shall be
considered sufficient cause for dismissal.
Lehman's is authorized to make any investigation of my past work experience or personal history as it
relates to the job. I release any and all sources from all liability on the issuance of such information.
If hired, I understand that employment is employment-at-will and that I may be terminated at any time by
either the company or by my own choice with or without cause for any lawful reason. Nothing in this
application, nor any oral representations by the employer shall constitute a contract of employment.
I authorize the references listed on this application to give you any and all information concerning my
previous employment and pertinent information they may have, personal or otherwise, and release all
parties from all liability for any damage that may result from furnishing same to you. I also acknowledge
that Lehman's reserves the right to amend or modify the policies in its Handbook and other policies at any
time, without prior notice.
Signature ________________________________________________________ Date _________________________
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