Job application form
Employment Application
Email address *
Legal Name *
Date of Birth *
Social Security Number *
Mailing Address *
Email Address *
Phone Number *
Name of last employer? *
Date you last worked with previous employer? *
MM
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DD
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YYYY
Reason you are no longer working for your last employer? *
Explain any long time-frames between your last employment and this application for work? *
I understand that the jobs available at this employer pays the current state minimum wage. *
Required
I understand that all jobs offered at this employer are part-time. *
Required
I understand that if I am hired, the first 90 days of employment is probationary only to ensure you can complete the skills required in a manner determined satisfactory to achieve quality and efficiency. *
Required
I understand that the number of hours I will work is not set and will vary based on customer needs. *
Required
I understand that I will be paid by direct deposit into an existing bank account or an employer provided payroll card. *
Required
I understand that I will receive a paycheck weekly and each check will be for the previous week worked. *
Required
I understand that this employer will not tolerate workplace gossip and a attitude that negatively affects the work environment. *
Required
I understand that if I am caught stealing from this employer I will be prosecuted. *
Required
I understand that it is my responsibility to be proficient at all task required and that if I am unsure about something, I need to ask my manager. *
Required
I understand that the goal of this employer is to produce top quality products and friendly, caring customer service despite the fact that customers are not always friendly. *
Required
I understand that I am expected to treat staff and management with both verbal and nonverbal respect at all times. *
Required
I understand that I am expected to call-in for unexpected absences and to request off for planned absences. *
Required
I understand excessive absences will not be tolerated. *
Required
I understand that a two week notice of intent to leave my job is required to be eligible for rehire. *
Required
I understand that drug use of any kind is not allowed on the premises. *
Required
I understand that I will have to participate in house-keeping chores. *
Required
Do you have any felony or misdemeanor charges on record? *
Required
Explain the reason for any legal charges against you if applicable. *
By signing this form, I understand that I am stating that all the information provided is true. *
Required
Please print your name as your signature. *
Date of signature *
MM
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