Groove Employment Application

Groove Employment Application

Please complete the form below to apply for a position with our team.
APPLICATION INFORMATION
Full Name

First NameMiddle NameLast Name
Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Email Address
Store Location Applying To
Position Applying For
What Languages Do You Speak Fluently:
How Soon Can You Start?

MonthDayYear
Availability
Desired Wage
Are You a Citizen of the United States?
Have You Ever Worked For This Company?
Have you ever been convicted of a felony?
EDUCATION
High School
High School Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
High School From

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
High School To

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Did You Graduate?
College
College Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
College From

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
College To

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Did You Graduate?
REFERENCES
Reference #1 Name

First NameLast Name
Relationship
Company
Phone Number

Area CodePhone Number
Reference #2 Name

First NameLast Name
Relationship
Company
Phone Number

Area CodePhone Number
Reference #3 Name

First NameLast Name
Relationship
Company
Phone Number

Area CodePhone Number
PREVIOUS EMPLOYMENT
Company
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Supervisor
Job Title
Starting Salary
Ending Salary
Responsibilities
Start Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
End Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Reason for Leaving
May we contact your previous supervisor for a reference?
Company
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Supervisor
Job Title
Starting Salary
Ending Salary
Responsibilities
Start Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
End Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Reason for Leaving
May we contact your previous supervisor for a reference?
Company
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Supervisor
Job Title
Starting Salary
Ending Salary
Responsibilities
Start Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
End Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Reason for Leaving
May we contact your previous supervisor for a reference?
MILITARY SERVICE
Branch
From

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
To

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Discharge Rank
Discharge Type
If other than honorable, explain
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
Signature Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
(Optional) Upload Resume

Upload a File

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Groove Employment Application

APPLICATION INFORMATION

EDUCATION

REFERENCES

PREVIOUS EMPLOYMENT

MILITARY SERVICE

DISCLAIMER AND SIGNATURE