Simple Job Application Form

Stogies Employment Application

Complete the form below to apply for a position with us. Application are active for 45 days. If you have not been hired within 45 days and wish to be considered for jobs that become available at a later date, you must fill out new application. Stogie's is an equal opportunity employer. Applicants are considered without regard to race, color, religion, sex, national origin, age, or disability.
Applying for which location *

Downtown Huntington Route 60 Barboursville Corporate Office
I. Personal
Full Name *

First Name Last Name
Current Address *

Street Address

Street Address Line 2

City State / Province
Last 4 Digits of Social Security Number *
How long have you been at this address?
Email Address
Phone Number *
Are you at least 18 years old? *

Yes No
Are you at least 21 years old? *

Yes No
II. Position
Position applied for (You may select multiple items) *

Associate Management
Date available *

Month Day Year
Total Number of Hours you are available to work each week.
Which are you willing to work (You may select multiple items)

Full-time Part-time Weekends Evenings Overtime
Days of the week you are available (You may select multiple items)

Monday Tuesday Wednesday Thursday Friday Saturday Sunday
III. Education

Education History

	School Name, City, State	Did you graduate?	Degree/Courses
High School
College
Graduate School
Other

Are you currently a student?

Yes No
Have you ever served in the U.S. Armed Services?

Yes No
IV. Employment

Please list work history beginning with current or most recent job
Job 1
Company Name
Company Address
Company Phone Number
Date Started
Date Ended
Position
Duties
Reason for Leaving
Job 2
Company Name
Company Address
Company Phone Number
Date Started
Date Ended
Position
Duties
Reason for Leaving
Job 3
Company Name
Company Address
Company Phone Number
Date Started
Date Ended
Position
Duties
Reason for Leaving
May we contact your present employer?

Yes No
V. Additional Information
How were you referred to us?
Have you ever been discharged from a job? *

Yes No
Have you ever been convicted of a felony or a misdemeanor, except a minor traffic violation? (Does not necessarily disqualify applicant from employment.) *

Yes No
If yes, explain
VI. Applicants Agreement and Certification
By submitting this application, I hereby certify that the facts set forth in the above employment application are truce and complete to the best of my knowledge. I understand that if employed, falsified staements on this application shall be sufficient cause for dismissal. Stogie's is hereby autorized to make any investigaton of my personal history through any agency of Stogie's choice.

I understand that I may be required to undergo screening for substance abuse (drugs) as a condition of my employment. I also understand that any contract of employment entered into between Stogie's and myself, shall be for an indefinite term and said employment shall be terminable at the will of either party without cause.
Signature

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Stogies Employment Application

I. Personal

II. Position

III. Education

IV. Employment

V. Additional Information

VI. Applicants Agreement and Certification