To the Applicant: We appreciate your interest in our Firm and assure you that we are interested in your qualifications. A Clear understanding of your background and work history will aid us in seeking to place you in a position which, in our judgment , best meets your qualifications . We are an equal opportunity employer and will not unlawfully discriminate on the basis of race, color, sex, religion , national origin, age, marital or veteran status, the presence of a medical condition or handicap , height, weight or any other protected status.

  • Personal Information

  • Personal Questions

  • Availability

  • Date Format: MM slash DD slash YYYY
    Weekends are required in our retail business.
    Typical shifts are as follows: 7 a.m. - 3:00 p.m. 9:00 a.m. - 5:00 p.m. 10 a.m. - 6:00 p.m. 11:30 a.m. - to 7:30 p.m. Shifts may vary by day/season.

  • Wage Desired

  • Education: Schools, Colleges, & Other Training

  • Employment History

    Please list most recent first.
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY

  • Skills and Qualifications

  • Referral Source

  • References

  • Attachments

  • Authorization & Understanding

    Upon the signing of this application, I represent that all of the information now or hereafter given by me in support of my application is true and complete. I authorize you to verify any of the information concerning my background, including but not limited to, my employment, driving record , education, criminal history, or medical history (post-offer only), with the appropriate individuals , companies, institutions or agencies, and I authorize them to release such information as you require, including my prior disciplinary employment record, without any obligation to give me written notice of such disclosure. I also authorize you to release any information requested by any of my prospective or subsequent employers without any obligation to give me written notice of such disclosure. I hereby release you and them from any liability whatsoever as a result of any such inquiries and disclosures and this release from liability does not waive or prohibit an individual from filing a charge of discrimination under the laws enforced by the EEOC. I agree that any false information in support of my application may subject me to discharge at any time during the period of my employment. I agree that either party may terminate the employment relationship, with or without cause, at any time, and I further agree that this arrangement may only be altered in writing directed to me personaUy and signed by the president of the firm. I agree that I shall be bound by the other rules, policies, regulations and terms and conditions of employment of the firm as they are from time to time changed , and no additional obligations can be imposed on the firm except those which have been acknowledged in writing, by the president or his designated representatives. I hereby authorize the firm to deduct from each and every period of my pay any amounts necessary to offset any damages caused by me or the value of property or money entrusted to me by, or owed by me to, the firm during the course of my employment. I agree that any action or suit against the firm, its agents or employees, arising out of my employment or termination of employment, including, but not limited to, claims arising under State, but not Federal, civil rights statutes, must be brought within 180 days of the event giving rise to the claims or be forever barred unless the applicable statute of limitations period is shorter than 180 days in which case I wiU continue to be bound by that shorter limitations period. I waive any limitation periods to the contrary. I further agree that if I should bring any non-statutory action or claim arising out of my employment against the firm, in which the firm prevails, I wiU pay to the firm any and aU such costs incurred by the firm in defense of said claims or actions, including attorney fees. I further agree that my employment is conditional until such time as the results of my post-offer physical (if such physical is required) are known.
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