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| First Name |
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| Middle Initial |
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| Last Name |
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Street Address
Line 1 |
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Street Address
Line 2 |
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| City |
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| State |
Postal Zip Code |
| Country |
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| Home Phone |
Work Phone |
| Mobile Phone |
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| Email Address |
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| Name and Relationship of Any Friends or Relatives in Our Employ: |
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| How Did You Find Us? |
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Employment Desired
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| Position of Interest |
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If Other, Please Specify? |
| Job Classification |
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| Date Available to Start |
/ / |
| Location of Interest |
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| Rate Desired |
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| Are You Employed Now? |
YES NO |
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If Yes, May We Contact Your Employer? |
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YES NO |
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If Yes, Please Supply Employer Contact Information: |
| Current Employer |
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| Employer Phone |
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| Have You Ever Applied With Us Before? |
YES NO |
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If So, When? / |
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If So, Which Location? |
Education
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| HIGH SCHOOL |
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| Location |
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| Graduation |
YES NO |
| COLLEGE/OTHER |
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| Location |
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| Major |
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| Graduation |
YES NO |
Work History
Feel free to attach a cover letter and resume (PDF file preferred) or to fill out the fields below. |
| ATTACHMENT |
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| (Most Recent First) |
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| EMPLOYER 1 |
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| Street |
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| City |
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| State |
Zip |
| Dates Employed |
/ through / |
| Position |
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| Pay Rate |
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| Reason For Leaving |
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| EMPLOYER 2 |
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| Street |
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| City |
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| State |
Zip |
| Dates Employed |
/ through / |
| Position |
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| Pay Rate |
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| Reason For Leaving |
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| EMPLOYER 3 |
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| Street |
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| City |
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| State |
Zip |
| Dates Employed |
/ through / |
| Position |
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| Pay Rate |
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| Reason For Leaving |
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Professional References
(List Only People We are Authorized to Contact) |
| REFERENCE 1 |
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Business/
Contact Name |
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| Street |
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| City |
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| State |
Zip |
| Phone |
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| Relationship |
Years Known |
| REFERENCE 2 |
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Business/
Contact Name |
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| Street |
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| City |
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| State |
Zip |
| Phone |
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| Relationship |
Years Known |
| REFERENCE 3 |
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Business/
Contact Name |
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| Street |
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| City |
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| State |
Zip |
| Phone |
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| Relationship |
Years Known |
Customer Service Highlights
1.
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| Willing to work retail hours (Mon-Sun)? |
YES NO |
| Dress according to policy? |
YES NO |
| Train in Other Store Locations? |
YES NO |
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If you answered "No" to any of the above, please explain: |
2.
Are you willing and able to do all work requested of you including, but not limited to, cleaning, climbing ladders, packing boxes, lifting merchandise, etc.?
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YES NO |
3.Describe your familiarity with computers and software applications, listing your knowledge of such applications as Microsoft Word, Excel, PowerPoint and others.
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4.What are your 2 best on-the-job qualities? Why?
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5.
Describe some components of quality customer service. Be specific.
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6.
What is important to you in a job?
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7.
Why should we hire you?
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8.
Have you ever been convicted of theft? |
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YES NO |
Tell us something extra about you. (optional) |
| Your interests, special training, accomplishments, awards won, activities, hobbies, etc. |
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