EMPLOYMENT APPLICATION

Transcription

1 Date: EMPLOYMENT APPLICATION Name (Last, First Middle): Current Address (Street): (City, State, Zip): Home Telephone (including area code): ( ) Alternative Telephone (including area code): ( ) Drivers License #: State: Are you 16 years of age or older? (Circle One) Yes No Have you applied at ThriftSmart before? (Circle One) Yes No Have you ever worked for ThriftSmart before? (Circle One) Yes No If yes, why did you leave? How did you hear about ThriftSmart employment opportunities? If hired at ThriftSmart, you may be assigned to varied duties from time to time. Is there any work you will not or can not perform? (Circle One) Yes No Please explain: If hired at ThriftSmart, can you furnish proof that you are eligible to work in the United States? (Circle One) Yes No If you are hired for a position with special driving or physical requirements, are you prepared to complete the required screenings, tests, and trainings? (Circle One) Yes No Have you ever been convicted of a crime? (Do not list minor traffic violations). (Circle One) Yes No If yes, please explain:

2 4890 Nolensville Pike, Nashville TN _ EMPLOYMENT HISTORY Most Recent Employer: Supervisor s Name: Address: Phone (including area code): Start date: End date: Salary / Hourly Wage: Your title: Your duties: May we contact this employer? (Circle One) Yes No Is it your intention to continue working for your present employer? (Circle One) Yes No Why did you leave: Voluntary Termination Involuntary Termination Why are you looking for another job? Previous Employer: Supervisor s Name: Address: Phone (including area code): Start date: End Date: Starting Wage: Ending Wage: Your title: Your duties: May we contact this employer? (Circle One) Yes No Why did you leave? Voluntary Termination Involuntary Termination Please explain: EDUCATION High School / GED: How many years did you complete? Did you graduate? (Circle One) Yes No College / Vocational School: How many years did you complete? Did you graduate? (Circle One) Yes No Course of Study: Degree Earned: List any other course or training programs that would impact your work at ThriftSmart:

3 _ 4890 Nolensville Pike, Nashville TN _ Work Related References 1) Name: Title: 2) Name: Title: 3) Name: Title: Your Interest in ThriftSmart What type of position are you applying for? Check all that apply. Full Time (35-40 hours per week) Part Time: hours per week hours per week hours per week Fewer hours per week Position: Cashier Lead Cashier General Labor / Maintenance Merchandise Assistant Merchandise Processor Driver Supervisor Assistant Manager Manager When could you start? Date: What would you like to work? (check all that apply) Mornings Days Evenings Weekends What unique qualifications, skills, experience, or interest do you bring to ThriftSmart? Why would you like to work at ThriftSmart?

4 List any additional information you feel may be important for us in evaluating your application: 4890 Nolensville Pike, Nashville TN _ Please read and submit: I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the employer listed above to give you any and all information concerning my previous employment and any pertinent information they have, personal or otherwise. I release all parties from all liability for any damage that may result from furnishing the same to you. I understand and agree that, if hired, my employment is for no definite period of time and, regardless of the date of payment of my wages and/or salary, may be terminated at any time without prior notice. I understand that my employment with ThriftSmart will be contingent upon satisfactory clearance of a criminal convictions background check. Driver positions will require an additional driving background check and management positions will require a credit background check as well. (Initial one) I Agree I Disagree Print Name: Signed: Date: ThriftSmart is committed to ensuring equal employment opportunities regardless of race, color, creed, religion, national origin, sex, disability, age or other legally protected status.

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