PERSONAL INFORMATION |
Last
|
First
|
MI
|
|
Address
|
City
|
State
|
Zip
|
SSN#
|
Email
|
Home Phone
|
|
Are you at least 16?
|
Are you at least 18?
|
Source through which you applied
|
Have you worked here before? If so what department.
|
Do you have adequate reliable transportation?
|
Have you ever been convicted of a felony?
|
| Two forms of ID will be requested upon employment. (Ex: Drivers license, Birth Certificate, Passport, SS Card, etc.) |
| |
EDUCATIONAL INFORMATION |
|
High School Name
|
Highest Grade Completed
|
College Name
|
Highest Year Completed
|
| |
AVAILABILITY |
| Your availability dates are important. Please give serious consideration to the date you indicate because this will have a strong bearing on your application. Failure to comply with the dates indicated may affect your future employment status. |
Students: |
Last Day of School
|
Date you can begin working daily
|
First Day of School
|
Can you work Saturdays?
|
| |
Can you work Sundays?
|
|
List any conflicts or prior commitments and their dates below: (Ex: band, sports, vacations, clubs, etc.)
|
| |
EMPLOYMENT INFORMATION |
| |
| Employer 1 |
|
| Employer 2 |
|
| Employer 3 |
|
May we contact your former employers?
|
| |
POSITION DESIRED |
| What department or position do you prefer? Please select three in order of your presence. |
First Choice
|
Second Choice
|
Third Choice
|
|
| |
READ CAREFULLY: I understand that any unanswered questions on this application may cause my application to be rejected. I understand that any false statements may be cause for immediate dismissal. If employed I grant this company, its tenatns, affiliates and assigns the right to photograph and use my likeness for advertising or publicity purposes. |
|