Rag-O-Rama application for employment
Sign in to Google to save your progress. Learn more
Position you are applying for
Name *
(Full legal name including first, middle & last)
Email *
Phone *
Address *
How long have you been at your current address? *
Do you have reliable transportation to and from work? *
Have you ever been terminated from a job? *
18 or Above? *
Legal to work in the USA *
Have you ever been convicted of a felony? *
A conviction will not automatically disqualify an applicant from employment.  
Job Qualifications *
When are you available to start? *
MM
/
DD
/
YYYY
You MUST be available nights, holidays, and Fridays, and have open weekend availability. Do you meet this requirement?   *
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
MM
/
DD
/
YYYY
Work experience 1: Ending date
MM
/
DD
/
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
/
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 Acknowledgment: By entering my initials below, I certify that all information provided in this application is true, complete, and accurate to the best of my knowledge. I understand that any false, misleading, or incomplete information provided during the application or hiring process may result in disqualification from consideration or, if employed, termination of employment.

If employed by Rag-O-Rama, I agree to comply with all company policies, procedures, and standards of conduct. I understand and acknowledge that my employment is at will, meaning that either I or Rag-O-Rama may terminate the employment relationship at any time, with or without cause or notice.

I authorize Rag-O-Rama to verify the information I have provided, including my employment history, educational credentials, and qualifications relevant to the position applied for.

Rag-O-Rama is an Equal Employment Opportunity employer. Employment decisions are made without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or any other status protected by applicable law.

Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms