16 General Store-Employment Application Form

Employment Application Form:

16 General Store LLC
Personal Information:
Full Name*

First NameMiddle NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail*
Birth Date*

MonthDayYear
Are You a U.S. Citizen?*

YesNo
Have you ever been charged with a felony?*

YesNo
Do you have any special requirements or accommodations that need to be considered?*

YesNo
Please list/explain your special requirements/accommodations
Employment Desired:
Position Applying For*
Date You Can Start*

MonthDayYear
Have You Worked Here Before?*

YesNo
Have You Applied Here Before?*

YesNo
Education:
High School*
Name of High School Attended
Number of Years Attended*
Graduated?*

Yes
College
Name of College/University Attended
Number of Years Attended
Graduated?

Yes
Area of Study/Degree
Skills/Qualifications:
Skills
List any relevant skills
Qualifications
List any relevant certifications or qualifications
Current Employment:
Current Employer*
Name of Current Employer or NONE if not Employed
Position
Salary
Reason for Leaving?
Start Date

MonthDayYear
May We Contact?

YesNo
Previous Employment:
Previous Employer 1
Name of Previous Employer
Position
Salary
Reason for Leaving?
Start Date

MonthDayYear
End Date

MonthDayYear
Previous Employer 2
Name of Previous Employer
Position
Salary
Reason for Leaving?
Start Date

MonthDayYear
End Date

MonthDayYear
References:
Reference 1*
Name of Reference
Relationship*
Years Acquainted
Phone*
Email
Reference 2*
Name of Reference
Relationship*
Years Acquainted
Phone*
Email
Reference 3*
Name of Reference
Relationship*
Years Acquainted
Phone*
Email
Phone Interview Appointment Recommendation
Cover Letter & Resume (Optional):
Cover Letter

Upload a File

Cancelof
Resume

Upload a File

Cancelof
Send Application:
By clicking the submit button below and Signing the "Signature" box, I cerity that all of the information provided by me on this application is true and complete, and I understand that if any false information, ommissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employement may be terminated at any time.

In consideration of my employment, I agree to conform to the company's rules and regulations, and I agree that my employment and compenstation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company's option.

I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by the company.
Signature

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Employment Application Form:

Personal Information:

Employment Desired:

Education:

Skills/Qualifications:

Current Employment:

Previous Employment:

References:

Cover Letter & Resume (Optional):

Send Application: