General Job Application
Thank you for your interest in working at The Main Street Exchange! Please fill out the application form below, and one of our team members will get back to you.
Applicant Information
Full Name
*
First Name
Last Name
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Birthdate
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Date Available to Start
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Desired Salary ($)
*
Do you have a Driver's License?
Yes
No
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Position Details
Position Applying For
*
Please Select
General Application
Are you a U.S. Citizen?
*
Yes
No
If no, are you authorized to work in the U.S.?
Yes
No
Have you ever worked for this company?
*
Yes
No
If yes, when?
Were you ever convicted of a felony?
*
Yes
No
If yes, please explain:
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Education
High School Name
High School Address
From:
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
To:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Did you graduate high school?
Yes
No
Diploma Type
College Name
College Address
From:
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
To:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Did you graduate college?
Yes
No
Degree
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References
Please provide three different references below.
Reference #1
*
First Name
Last Name
Relationship
*
Company
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Reference #2
*
First Name
Last Name
Relationship
*
Company
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Reference #3
*
First Name
Last Name
Relationship
*
Company
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Previous Employment
Please provide up to 3 previous places of employment.
Company #1
Address
Supervisor
Job Title
Starting / Ending Salary
Responsibilities
From:
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
To:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Reason for Leaving
May we contact the supervisor?
Yes
No
Company #2
Address
Supervisor
Job Title
Starting / Ending Salary
Responsibilities
From:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
To:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Reason for Leaving
May we contact the supervisor?
Yes
No
Company #3
Address
Supervisor
Job Title
Starting / Ending Salary
Responsibilities
From
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
To:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Reason for Leaving
May we contact the supervisor?
Yes
No
Disclaimer and Signature
I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
Signature
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
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Additional Questions
What do you see as your greatest strength when it comes to working with a team?
*
What do you see as your greatest weakness when it comes to working with a team?
*
What are a few things that you find great joy in? (Hobby, giftings, etc)
*
What would be some of your goals in working at The Main Street Exchange?
*
Why do you want to work at The Main Street Exchange?
*
Have you had previous retail experience? If so, when and where?
*
Out of all the positions below, which one would you see yourself working the best in?
*
Storefront
Shipping
Warehouse
Creative
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