Application for Employment at Frederick's
Our policy is to provide equal employment Opportunity to all qualified persons without regard to race, creed, color, religious belief, sex, age, national origin, ancestry, physical or mental disability, or veteran status.
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Basic Information
Last Name *
First Name *
Middle Name
Street Address *
City *
State *
Zip Code *
Phone Number *
Alternate Phone
Social Security Number *
Enter as XXX-XX-XXXX
Position applied for: *
How did you hear of this opening?
When can you start? *
Enter as MM/DD/YYYY
Are you a U.S. citizen or otherwise authorized to work in the U.S. on an unrestricted basis? (You may be required to provide documentation.) *
Are you looking for full-time employment? *
If you answered no to the previous question, how many hours are you available?
Enter as a number (i.e. 32)
Are you willing to work swing shift? *
Have you ever been convicted of a felony? *
If you answered yes to the previous question, please describe conditions.
Highest level of education completed *
Are there other skills, qualifications, or experience that we should consider?
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