Rag-O-Rama application for employment
Position you are applying for
Your answer
Store location you are interested in *
Name *
(Full legal name including first, middle & last)
Your answer
Email
Your answer
Phone *
Your answer
Address *
Your answer
Residency Length *
Your answer
Driver's Licence/State ID# *
Your answer
Driver's Licence/State ID State *
State your ID is issued from
Your answer
18 or Above? *
Legal to work in the USA *
Convicted of a felony? *
Job Qualifications *
Your answer
When are you available to start? *
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DD
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What hours are you available on Monday? *
Your answer
What hours are you available on Tuesday? *
Your answer
What hours are you available on Wednesday? *
Your answer
What hours are you available on Thursday? *
Your answer
What hours are you available on Friday? *
Your answer
What hours are you available on Saturday? *
Your answer
What hours are you available on Sunday? *
Your answer
Will your work availability change? *
If yes, please explain
Your answer
Do you have any limitations, due to your physical or mental health, that might prohibit you from performing the position applied for? *
If yes, please explain
Your answer
Any extracurriculars? *
If yes, please explain
Your answer
Availability *
Do you know anyone who works or worked for Rag-O-Rama? *
If yes, please inform who
Your answer
Have you ever applied or worked at Rag-O-Rama before? *
If yes, please inform date(s)
Your answer
Do you shop at Rag-O-Rama? *
High School *
name of school
Your answer
Do you have your high school diploma? *
College
name of school
Your answer
College years completed
Your answer
Currently in school? *
Plans for education *
Your answer
Occupational goals? *
Your answer
Work experience 1: Beginning date
MM
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DD
/
YYYY
Work experience 1: Ending date
MM
/
DD
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YYYY
Work experience 1: Please include Position held, company name, address, phone, supervisor's name
Your answer
Work experience 1: Job duties
Your answer
Work experience 1: Reason for leaving
Your answer
Work experience 1: Beginning pay
Your answer
Work experience 1: Ending pay
Your answer
Work experience 1: May we contact this employer for a reference?
Work experience 2: Beginning date
MM
/
DD
/
YYYY
Work experience 2: Ending date
MM
/
DD
/
YYYY
Work experience 2: Please include Position held, company name, address, phone, supervisor's name
Your answer
Work experience 2: Job duties
Your answer
Work experience 2: Reason for leaving
Your answer
Work experience 2: Beginning pay
Your answer
Work experience 2: Ending pay
Your answer
Work experience 2: May we contact this employer for a reference?
Work experience 3: Beginning date
MM
/
DD
/
YYYY
Work experience 3: Ending date
MM
/
DD
/
YYYY
Work experience 3: Please include Position held, company name, address, phone, supervisor's name
Your answer
Work experience 3: Job duties
Your answer
Work experience 3: Reason for leaving
Your answer
Work experience 3: Beginning pay
Your answer
Work experience 3: Ending pay
Your answer
Work experience 3
May we contact this employer for a reference?
Signature *
E-Signature: By initialing you certify that the information on this application is correct and understand that any misrepresentation or omission of any information will result in disqualification of employment or if employed the dismissal for just cause. If employed by Rag-O-Rama, you agree to abide by all policies and regulations of the company, as well as understanding that your employment would be at will, and may be terminated by yourself or Rag-O-Rama at any time. You hereby authorize Rag-O-Rama to investigate your employment history, background check, credit history, educational credentials, driving record, qualifications and any other pertinent information presented by you to Rag-O-Rama unless you have indicated otherwise by contacting companies and/or individuals it deems appropriate; and hereby give full consent for said individuals and companies to communicate any, and all information necessary for the satisfaction of this investigation. In doing so, you waive the right to bring any cause of action against same for defamation, invasion of privacy, or any other reason of their compliance with this consent.
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