Employment Application Form

Name:*

First NameLast Name
Phone Number:*

Area CodePhone Number
E-mail Address:
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Education: High School, Years From/To, Did you Graduate?
Others:
Upload Resume:

Upload a File

Cancelof
Training or Certifications:
Which store are you applying to?

RosamondMojaveBoronTehachapi
Part-time or Full-time
References Please list two (2) references that are familiar with your work life.
Reference 1
Name:*

First NameLast Name
Phone Number*

Area CodePhone Number
Years Known:*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Reference 2
Name:*

First NameLast Name
Phone Number*

Area CodePhone Number
Years Known:*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Previous Employment Please list your previous jobs.
Job 1
Place of Employment
Employer's Phone Number

Area CodePhone Number
Years of Employment
Ending Pay
Job 2
Place of Employment
Employer's Phone Number

Area CodePhone Number
Years of Employment
Ending Pay
Job 3
Place of Employment
Employer's Phone Number

Area CodePhone Number
Years of Employment
Ending Pay
Should be Empty: