Employment Application Form

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We are always seeking talented, motivated and most importantly friendly individuals who will take pride in caring for out customer's needs.

We feel that if our employees are happy then they'll be friendly to our customers. This way we can provide the best shopping experience for our customers. We enjoy having our neighbors become our employees.

Join our team

Applicant Information

First: *

Last Name: *

M.I:

Age: *

I am at least 16 years old

I am at least 18 years old

Select the option that applies to you.

Are you 21 years of age or older?

Yes

Street Address: *

Apartment/Unit #:

City: *

State: *

ZIP: *

Phone: *

E-mail Address: *

Date Available:

Year

Month

Day

Hours Available

	Availability	Start Time	End Time
Sunday	Anytime Select Hours
Monday	Anytime Select Hours
Tuesday	Anytime Select Hours
Wednesday	Anytime Select Hours
Thursday	Anytime Select Hours
Friday	Anytime Select Hours
Saturday	Anytime Select Hours

Position Applying For:

Please select 'Open' If your desired position is not listed.

Location applying for: *

Departments interested in

Do you have any retail expirence? *

Yes

If so, What?

Have you ever worked for this company? *

Yes

If yes, when?

How did you find about us?

Why would you like to work for us? *

Previous Employment 1

Company:

Phone:

Address:

Supervisor:

Job Title:

Starting Salary: $ /hr

Ending Salary: $ /hr

Responsibilities:

From:

Year

Month

Day

To:

Year

Month

Day

Reason for leaving:

Previous Employment 2

Company:

Phone:

Address:

Supervisor:

Job Title:

Starting Salary: $ /hr

Ending Salary: $ /hr

Responsibilities:

From:

Year

Month

Day

To:

Year

Month

Day

Reason for leaving:

Previous Employment 3

Company:

Phone:

Address:

Supervisor:

Job Title:

Starting Salary: $ /hr

Ending Salary: $ /hr

Responsibilities:

From:

Year

Month

Day

To:

Year

Month

Day

Reason for leaving:

Education

High School

Name:

Address:

From:

Year

Month

Day

To:

Year

Month

Day

Did you graduate?

Yes

College

Name:

Address:

From:

Year

Month

Day

To:

Year

Month

Day

Did you graduate?

Yes

Degree:

Other

Name:

Address:

From:

Year

Month

Day

To:

Year

Month

Day

Did you graduate?

Yes

Degree:

References

Reference 1

Full Name:

Relationship:

Company:

Phone:

Address:

Reference 2

Full Name:

Relationship:

Company:

Phone:

Address:

Resume

"I CERTIFY THAT THE FACTS CONTAINED IN THIS APPLICATION ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND UNDERSTAND THAT, IF EMPLOYED, FALSIFIED STATEMENTS ON THIS APPLICATION SHALL BE GROUNDS FOR DISMISSAL. I AUTHORIZE INVESTIGATION OF ALL STATEMENTS CONTAINED HEREIN AND THE REFERENCES AND EMPLOYERS LISTED ABOVE TO GIVE YOU ANY AND ALL INFORMATION CONCERNING MY PREVIOUS EMPLOYMENT AND ANY PERTINENT INFORMATION THEY MAY HAVE, PERSONAL OR OTHERWISE, AND RELEASE THE COMPANY FROM LIABILITY FOR ANY DAMAGE THAT MAY RESULT FROM UTILIZATION OF SUCH INFORMATION. I ALSO UNDERSTAND AND AGREE THAT NO REPRESENTATIVE OF THE COMPANY HAS ANY AUTHORITY TO ENTER INTO ANY AGREEMENT FOR EMPLOYMENT FOR ANY SPECIFIED PERIOD OF TIME, OR TO MAKE ANY AGREEMENT CONTRARY TO THE FOREGOING, UNLESS IT IS IN WRITING AND SIGNED BY AN AUTHORIZED COMPANY REPRESENTATIVE. I ALSO UNDERSTAND AND AGREE TO ALLOW MY APPLICATION TO BE TRANSMITTED THROUGH THE INTERNET."

We are an Equal Opportunity Employer.

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Employment Application Form

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