Shopkeeper Application Form
Full Name
First Name
Last Name
E-mail
example@example.com
Phone Number
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Employment History
Business Name
Supervisor
Date Began
Date Ended
Reason for Leaving
Reason for Leaving
Employment History
Business Name
Supervisor
Date Began
Date Ended
Reason for Leaving
Reason for Leaving
Employment History
Business Name
Supervisor
Date Began
Date Ended
Reason for Leaving
Reason for Leaving
What type of schedule are you applying for?
Please Select
Full Time
Part Time
Weekends Only
Available start date:
-
Month
-
Day
Year
Date
What is your current employment status?
Employed
Unemployed
Self-Employed
Student
Please select the shifts you would be available to fill:
Monday: 10 am to 3 pm
Monday: 3 pm to 8 pm
Tuesday: 10 am to 3 pm
Tuesday: 3 pm to 8 pm
Wednesday: 10 am to 3 pm
Wednesday: 3 pm to 8 pm
Thursday: 10 am to 3 pm
Thursday: 3 pm to 8 pm
Friday: 10 am to 3 pm
Friday: 3pm to 9 pm
Saturday: 10am to 3 pm
Saturday: 3 pm to 9 pm
Sunday: 11 am to 7 pm
Professional Reference:
Name
Business Affiliation
Phone Number
Position
E-mail Address
Email
example@example.com
Personal Reference:
Name
Personal Affiliation
Phone Number
Position
E-mail Address
Email
example@example.com
If you wish, please upload resume or email to shoplocal@marketinthemall.net:
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