Julies Job Application

Full Name*

First NameMiddle NameLast Name

Phone Number*

Format: (000) 000-0000.

Email Address*

example@example.com

Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

How long have you resided at this residence? *

Are you under the age of 18?*

YesNo

If yes, can you provide proof of your eligibility to work?

YesNo

Are you currently authorized to work in the United States? (proof of eligibility will be required if hired)*

YesNo

Position Applied*

What location(s) are you applying for?*

Birkdale Village- Charlotte NCGastonia - Charlotte NCPark Road Shopping Center- Charlotte NCMayfaire Shopping Center - Wilmington NC

Desired Salary*

Available Start Date*

Date

Fill out availability here:*

Rows	Sunday	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday
From
To

Do you have reliable transportation?*

YesNo

Why do you want to work for our Company?*

What are some aspects of your past jobs that you did not like?*

Have you every been dismissed or forced to resign from any employment? (if yes please explain)*

Education:*

Rows	Name Of School	Location	Number of Years Completed	Major & Degree
High School
College
Other

Upload Your Resume

Upload Your Portfolio, Cover Letter or References (optional)

May we contact your current employer?*

YesNo

PLEASE READ CAREFULLY

I herby authorize the potential employer to contact, obtain and verify the accuracy of information contained in this application from all previous employers, educational institutions, and references. I also herby release from liability the potential employer and its representatives for seeking, gathering, and using such information to make employment decisions and all other persons or organizations for providing such information.

I understand that any misrepresentation or material omission made by me on this application will be sufficient cause for cancellation of this application or immediate termination of employment if I am employed, whenever it may be discovered.

If I am employed, I acknowledge that there is no specific length of employment, and that this application does not constitute an agreement or contract for employment. Accordingly, either I or the employer can terminate the relationship at will, with or without cause, at any time, so long as there is no violation of applicable federal or state law.

We are an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, gender, sexual orientation, national origin, citizenship, age, heigh, weight, or disability. We assure you that your opportunity for employment with us depends solely on you qualifications.

Thank you for completeing this application form and for your interest in our business.

Signature*