Careers

Careers

Online Application for Employment

Address 1:
Personal Information
Name:
Address 2:
City:
State:
Zip:
Phone:
Fax:
Cell:
Email:
Store Location
Location:
Availability
Date Available (mm/dd/yyyy):

Hours available per week:

	Mon	Tues	Wed	Thurs	Fri	Sat	Sun
From:
To:

Work Authorization
Are you 18 years of age or older?	Y N
If hired, can you provide written evidence that you are authorized to work in the US?	Y N
Have you ever been convicted of a crime before?	Y N
If Yes, please explain:

Education

Type	Name	Location	Course of Study	Years Completed	Degree/Dimploma
Elementary & Jr High
High School
College
Technical/Other

Employment History (Please list your 4 most recent employers)

Company Name	Location	Kind of Work	Date Started	Date Left	Rate of Pay	Reason for Leaving

Employment Sought
Type of work desired:
Salary desired:	$ /hr
How were you referred to our organization?
Have you ever been employed here before?	Y N
If yes, when? (mm/yyyy)
Do you have any relatives who are employed by this organization?	Y N
If yes, please specify:

Attach Resume

Applicant's Statement

I understand that the employer follows an "employment at will" policy, in that I or the employer may terminate my employment at any time, or for any reason consistent with applicable state or federal law; this "employment at will" policy cannot be changed verbally or in writing, unless the change is specifically authorized in writing by the chief operating officer of this organization. I understand that this application is not a contract of employment. I understand that federal law prohibits the employment of unauthorized aliens; all persons hired must submit satisfactory proof of employment authorization and identity; failure to submit such proof will result in denial of employment.

I understand this application will be active for a period of one year; after that time, if I wish to be considered for employment, I must submit a new application.

I understand that the employer will thoroughly investigate my work and personal history and verify all data given on this application, on related papers, and in interviews. I authorize all individuals, schools, and firms named therein, except my current employer if so noted, to provide any information requested about me, and I release them from all liability for damage in providing this information.

I certify that all the statements herein are true and understand that any falsification or willful omission shall be sufficient cause for dismissal or refusal of employment.

By submitting my application, I accept and agree to the above statement.