Skip to content
(605) 342-5122
Hagen Glass, Inc. 4111 Triple Crown Dr Rapid City, SD 57701
24hr Emergency Service & Repair
Home
Residential
Window Replacement
Residential Glass Repair
Glass Shower Doors
Patio Doors
Custom Glass and Mirrors
Warranty Registration
Glass Shower Doors
Commercial
Aluminum Storefront & Entrances
Curtain Walls
Automatic Entrances
Architectural Grade Windows
Commercial Doors & Windows
24 Hour Emergency Service
Custom Glass and Mirrors
About
Showroom
About Hagen Glass
FAQ
Careers
Contact
Financing
FREE Estimate
Menu
Navigation Menu
Navigation Menu
Home
Residential
Window Replacement
Residential Glass Repair
Glass Shower Doors
Patio Doors
Custom Glass and Mirrors
Warranty Registration
Glass Shower Doors
Commercial
Aluminum Storefront & Entrances
Curtain Walls
Automatic Entrances
Architectural Grade Windows
Commercial Doors & Windows
24 Hour Emergency Service
Custom Glass and Mirrors
About
Showroom
About Hagen Glass
FAQ
Careers
Contact
Financing
FREE Estimate
24hr Emergency Service & Repair
Apply Now
Fill out an employment application:
Step
1
of
6
16%
Personal Data
Employer:
Position(s) applying for:
Name
First
Middle
Last
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Home phone
Business phone
Cell phone
Date you can start work
Month
Day
Year
Desired salary
Do you have a high school diploma or GED?
Yes
No
Position Information
Check all that you are willing to work.
Hours
Full time
Part time
Time of day
Days
Evenings
Type of shift
Swing
Graveyard
Weekends
Status
Regular
Temporary
Are you authorized to work in the U.S. on an unrestricted basis?
Yes
No
Have you been told the essential functions of the job or have you viewed a copy of the job description listing the essential functions of the job?
Yes
No
Can you perform these essential functions of the job with or without reasonable accomodation?
Yes
No
Have you ever been convicted of a felony?
Convictions will not necessarily disqualify an applicant for employment
Yes
No
If yes, please explain:
Qualifications
Please list any education or training you feel relates to the position applied for that would help you perform the work, such as schools, colleges, degrees, vocational or technical programs, and military training.
School name
Degree:
Address
City/state
School name
Degree:
Address
City/state
Other
Degree:
Address
City/state
Special skills
Please list any special skills or experience that you feel would help you in the position that you are applying for (leadership, organizations/teams, etc)
References
Please list three professional references not related to you, with full name, address, phone number, and relationship. If you don't have three professional references, then list personal, unrelated references.
Name
Address
City/State
Phone
Relationship
Name
Address
City/State
Phone
Relationship
Name
Address
City/State
Phone
Relationship
Work History
Start with your present or most recent employment and work back. Use separate sheet if necessary. (Include paid and unpaid positions).
Job #1
Job title
Start date
End date (if applicable)
Company name
Supervisor's name
Phone number
City
State
Zip code
Duties
Reason for leaving
Starting salary
Ending salary
May we contact your current employer?
Yes
No
N/A
Job #2
Job title
Start date
End date
Company name
Supervisor's name
Phone number
City
State
Zip code
Duties
Reason for leaving
Starting salary
Ending salary
Job #3
Job title
Start date
End date
Company name
Supervisor's name
Phone number
City
State
Zip code
Duties
Reason for leaving
Ending salary
Starting salary
Job #4
Job title
Start date
End date
Company name
Supervisor's name
Phone number
City
State
Zip code
Duties
Reason for leaving
Starting salary
Ending salary
Sign and date
Certification
I certify that the facts set forth in this Application for Employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements, omissions or misrepresentations may result in my dismissal. I authorize the Employer to make an investigation of any of the facts set forth in this application and release the Employer from any liability. The employer may contact any listed references on this application. I acknowledge and understand that the company is an "at will" employer. Therefore, any employee (regular, temporary, or other type of category employee) may resign at any time, just as the employer may terminate the employment relationship with any employee at any time, with or without cause, with or without notice to the other party.
I certify the information provided is true to the best of my knowledge.
Applicant signature
Typed name will act as signature.
Date
Month
Day
Year
CAPTCHA
Contact Us
