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Employment Application

Fill out online or print and mail!

Location


Personal Information
,

Present Address: *

,

Are you 18 years of age or older?

If hired, can you furnish proof you are eligible to work in the U.S.? *
  


Position

What kind of employment are you seeking? *

Have you ever applied here before? *
  

Have you ever worked here before? *
  

Have you ever been convicted of any law violation? * (Include any plea of “guilty” or “no contest.” Exclude minor traffic violations. A conviction will not necessarily disqualify an applicant for employment.)
  

If employed, do you expect to be engaged in any additional business or employment outside of our job? *
  


Education
High School or GED

College or University

Vocational or Technical


Employment History
List names of employers in consecutive order with present or last employer listed first. Account for all periods of time including military service and any periods of unemployment. if self-employed, give firm name and supply business references. Note: A job offer may be contingent upon acceptable references from current and former employers.

Employer 1


Employer 2



References
Give three references, not relatives or former employers.

Reference 1

Reference 2

Reference 3


PLEASE READ EACH STATEMENT CAREFULLY

I certify that all information provided in this employment application is true and complete. I understand that any false information or omission may disqualify me from further consideration for employment and may result in my dismissal if discovered at a later date. I authorize the investigation of any or all statements contained in this application. I also authorize, whether listed or not, any person, school, current employer, past employers and organizations to provide relevant information and opinions that may be useful in making a hiring decision. I release such persons and organizations from any legal liability in making such statements. I understand I may be required to successfully pass a drug screening examination. I hereby consent to a pre- and/or post-employment drug screen as a condition of employment, if required. I understand that if I am extended an offer of employment it may be conditioned upon my successfully passing a complete pre-employment physical examination. I consent to the release of any or all medical information as may be deemed necessary to judge my capability to do the work for which I am applying.

I UNDERSTAND THAT THIS APPLICATION, VERBAL STATEMENTS BY MANAGEMENT, OR SUBSEQUENT EMPLOYMENT DOES NOT CREATE AN EXPRESS OR IMPLIED CONTRACT OF EMPLOYMENT NOR GUARANTEE EMPLOYMENT FOR ANY DEFINITE PERIOD OF TIME. ONLY THE PRESIDENT OF THE ORGANIZATION HAS THE AUTHORITY TO ENTER INTO AN AGREEMENT OF EMPLOYMENT FOR ANY SPECIFIED PERIOD AND SUCH AGREEMENT MUST BE IN WRITING, SIGNED BY THE PRESIDENT AND THE EMPLOYEE. IF EMPLOYED, I UNDERSTAND THAT I HAVE BEEN HIRED AT THE WILL OF THE EMPLOYER AND MY EMPLOYMENT MAY BE TERMINATED AT ANY TIME, WITH OR WITHOUT REASON AND WITH OR WITHOUT NOTICE.

Answer each question fully and accurately. No action can be taken on this application until you have answered all questions.

In reading and answering the following questions, be aware that none of the questions are intended to imply illegal preferences or discrimination based upon non-job-related information. We do not discriminate on the basis of race, color, religion, national origin, sex, age, disability, or any other status protected by law or regulation. It is our intention that all qualified applicants be given equal opportunity and that selection decisions be based on job-related factors.

PRINT & DROP-OFF

If you would prefer to send a physical application, download one and drop it off at the appropriate store location you are applying to. You can see all locations listed under our locations tab. Use blank paper if you do not have enough room on the application. PLEASE PRINT, except for signature on the back.