Employment

Contact Information

Requested Information

What position are you applying for?
What is your salary requirement (if any)?
Location desired
Are there any days you are not available?
When are you able for work?
Number of hours desired:
Can you work nights?
Employment desired
Are you legally eligible for employment in the United States of America?
Have you ever been convicted of an offense against the law, other than a minor traffic violation?
Do you have a driver's license?
Do you have your own transportation?
Physical Restrictions (i.e. Heavy Lifting):
Please list two references other than relatives or previous employers (include their Name, Position, Company, Address and Contact #)
Work Experience - Name, Address, Phone# of present or last employer?
Name of last supervisor
Employment Dates (From: and To:)
What was your Starting/Final Pay or Salary?
What was your reason for leaving(be specific)?
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.
May we contact your present employer?
Have you ever served in the armed forces?
Upload Your Resume:
Signature/Date
What Store Would You Prefer Working In?