Employment Application Form

Name:*

First NameLast Name
Birth Date*

MonthDayYear
Phone Number:*

Area CodePhone Number
E-mail Address:*
How were you referred to us?*

Walk-InEmployeeFacebookOther (please specify)Instagram
Availability?*

EveningsWeekendsEvenings and Weekends
Have you ever shopped with us?*

YesNo
Do you have reliable transportation?*

YesNo
Job Skills, Time Management & Training
What is your highest level of education?*

High SchoolGEDCollege StudentCollege Degree
Which is your greatest strength?*

Customer ServiceSales Associate
Describe any special skill(s) you possess and/or certifications(s) that you've acquired and how they would make you a great asset to the team?:*
What is a skill you'd like to build on or acquire on the job?*
How would describe your punctuality?*

"Early is on time, and on time is late"Always on TimeOften Late
Upload Resume:*
References

Please list two (2) employment references.
Reference 1
Previous Employer*

Company NameYour Previous Position
Name Of Supervisor*

First NameLast Name
Phone Number*

Area CodePhone Number
Years Employed:*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Reference 2
Previous Employer:*

Company NameYour Previous Position
Name Of Supervisor:*

First NameLast Name
Phone Number*

Area CodePhone Number
Years Employed:*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Signature*

Clear
Should be Empty: