Applicaiton for employment

Application for Employment

Name:

Address:

Email:

Phone:

Are you at least 18?

Yes

If NO, Date of Birth:

Date you can Start:

Salary Desired:

Are you Employed now?

Yes

If yes, may we inquire of your present employer?

Store Preference:

STORE PREFERENCE:

Store Preference:

Richmond Hill

Pooler

Bluffton

Rincon

Hours Available

HOURS AVAILABLE:

Monday:

Tuesday:

Wednesday:

Thursday:

Friday:

Saturday:

Sunday:

Education History

EDUCATION HISTORY

High School:

How many years attended?

College:

How many years attended?

Other:

How many years attended?

Military Service?

Years & Rank:

Special Work Experience or Extra Training/Skills:

Employment History

EMPLOYMENT HISTORY

Employer #1

Employer #1:

Dates of Employment:

Employer Name and City:

Salary:

Position:

Reason for Leaving:

Employer #2:

Employer #2:

Dates of Employment:

Employer Name and City:

Salary:

Position:

Reason for Leaving:

Employer #3:

Employer #3:

Dates of Employment:

Employer Name and City:

Salary:

Position:

Reason for Leaving

References:

REFERENCES

References:

Give the names of three people not related to you, who we may contact.

Reference #1:

Reference #1:

Name:

City:

Phone Number:

Relationship to Applicant:

Reference #2:

Reference #2:

Name:

City:

Phone Number:

Relationship to Applicant:

Reference #3:

Reference #3:

Name:

City:

Phone Number:

Relationship to Applicant:

Authorization Clause

"I certify that the facts contained in this application are true and complete to the best of my knowledge and I understand that, if employed, falsified statements on this application shall be grounds for dismissal."

Signature:

Date:

Scooping since 2009

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