Rag-O-Rama application for employment
Position you are applying for
Store location you are interested in *
Name *
(Full legal name including first, middle & last)
Email *
Phone *
Address *
How long have you been at your current address? *
Do you have a valid drivers license? *
Driver's Licence/State ID State *
State your ID is issued from
18 or Above? *
Legal to work in the USA *
Convicted of a felony? *
Job Qualifications *
When are you available to start? *
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What hours are you available on Monday? For example "8am to 10pm" *
What hours are you available on Tuesday? *
What hours are you available on Wednesday? *
What hours are you available on Thursday? *
What hours are you available on Friday? *
What hours are you available on Saturday? *
What hours are you available on Sunday? *
Minimum hours wanted per week? *
Maximum hours wanted per week? *
Will your work availability change? *
If yes, please explain
Any extracurriculars? *
If yes, please explain
Availability *
Do you know anyone who works or worked for Rag-O-Rama? *
If yes, please inform who
Have you ever applied or worked at Rag-O-Rama before? *
If yes, please inform date(s)
Do you shop at Rag-O-Rama? *
High School *
name of school
Do you have your high school diploma? *
College
name of school
College years completed
Currently in school? *
Plans for education *
Occupational goals? *
Work experience 1: Beginning date
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Work experience 1: Ending date
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YYYY
Work experience 1: Please include Position held, company name, address, phone, supervisor's name
Work experience 1: Job duties
Work experience 1: Reason for leaving
Work experience 1: Beginning pay
Work experience 1: Ending pay
Work experience 1: May we contact this employer for a reference?
Clear selection
Work experience 2: Beginning date
MM
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DD
/
YYYY
Work experience 2: Ending date
MM
/
DD
/
YYYY
Work experience 2: Please include Position held, company name, address, phone, supervisor's name
Work experience 2: Job duties
Work experience 2: Reason for leaving
Work experience 2: Beginning pay
Work experience 2: Ending pay
Work experience 2: May we contact this employer for a reference?
Clear selection
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
Work experience 3: Job duties
Work experience 3: Reason for leaving
Work experience 3: Beginning pay
Work experience 3: Ending pay
Work experience 3
May we contact this employer for a reference?
Clear selection
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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