Employment Application
Fill the form below accurately indicating your potentials and suitability to job applying for.
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Email
*
example@example.com
Date Available to Start
*
/
Month
/
Day
Year
Date
Resume and Files
*
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Desired Salary
*
Are you older than 18?
*
Yes
No
Are you a citizen of the United States?
*
Yes
No
Type of employment desired?
*
Please Select
Full Time
Part Time
Temporary
Seasonal
Job Type
*
Please Select
Retail Sales Associate
Kitchen Cabinet Design
Warehouse Shipping/Receiving
Store Location
*
Please Select
2300 S. 6th Ave Tucson AZ
11345 Pellicano Dr. El Paso TX
2416 Comanche NE Albuquerque NM
300 West 28th St. Suite 105 National City CA
3749 W Ina Rd Ste #100 Tucson AZ
4525 E. McDowell Rd Phoenix AZ
4545 W. Camelback Rd Phoenix AZ
5123 E. Speedway Blvd Tucson AZ
16807 N Cave Creek Rd Phoenix, AZ
Have you ever plead "guilty" or "no contest" to or been convicted of a crime?
*
Yes
No
If yes, please give dates and details.
I understand that answering yes to these questions does not constitute an automatic rejection to employment.
*
I understand that the date of the offense, seriousness and nature of the violation, rehabilitation and position applied for will be considered.
*
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Education
High School Attended
*
Number of Years Completed
*
Please Select
1
2
3
4
Did You Graduate?
*
Yes
No
College/University Attended?
Major
College Years Completed
Please Select
1
2
3
4
5+
Did you Graduate College/University?
Yes
No
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References
Please list two (2) references that are familiar with your work life.
Reference
Reference
Reference
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Skills
Summarize your special skills or Qualifications:
Previous Employment
Previous Employment
Previous Employment
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Agreement
I certify that my answers are true and complete to the best of my knowledge. I authorize you to make such investigations and inquiries of my personal, employment, financial, or medical history and other related matters as may be necessary for an employment decision. I hereby release employers, schools, or persons from all liability in responding to inquiries in connection with my application.
In the event I am employed, I understand that false or misleading information given in my application or interview(s) may result in discharge.
Agree
Decline
Date
-
Month
-
Day
Year
Date
Submit
Submit
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