Passaic, NJ ● Baldwin, NY ● Farmingville, NY
Job Application
This employer provides equal access to programs, services, and employment opportunities to all persons without regard to race (including historically associated hair textures and protective hairstyles), religion, age, sex (including pregnancy), sexual orientation, gender identity or expression, national origin, disability, military status, or any other status protected by federal, state, or local law.In accordance with the Americans with Disabilities Act (ADA) and applicable state and local laws, applicants requiring a reasonable accommodation for any part of the application or interview process (such as alternate material formats, sign language interpreters, or modified testing conditions) should notify the Human Resources Department in advance
Applicant Information
Name
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First Name
Last Name
Address
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Street Address
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Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Email
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example@example.com
Desired Salary
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Position Applied for:
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Cashier/Floor Associate
Production Associate
Driver
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Store Location Applied for:
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Passaic, NJ
Baldwin, NY
Farmingville, NY
Employment Desired:
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Full-Time
Part-Time
Seasonal
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Are you lawfully authorized to work in the U.S?
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Have you ever worked for this company?
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How you heard about us ?
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Are you 18 years of age or older?
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Company Name
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Start Date
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Resume:
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Applicant Statement
I certify that all information provided in this application and my resume is true, complete, and correct. I understand that any false statements, misrepresentations, or omissions will be sufficient cause to eliminate me from consideration or result in my immediate dismissal if discovered after hire. I understand that this application remains active for only 60 days. I further agree that if I am hired, my employment is strictly at-will, meaning that either I or the employer can terminate the employment relationship at any time, with or without cause, and with or without prior notice. This application does not constitute an employment contract or an agreement for any specific duration. Additionally, I understand that the employer reserves the right to request and verify personal or professional references later in the selection process.
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