Employee Application Employment Form Basic Information First Name * Last Name * Address * Phone Number * Is This a Cell or Home Phone? * Mobile Home Work Other End Section More Information Do you have a valid drivers license? * Yes No Drivers License was issued in which state? * Are You Over The Age Of 18? * Yes No Are you legally eligible for employment? * Yes No If no please explain: * Have you Ever Pleaded "Guilty" or "No Contest" to, or been convicted of a crime? * Yes No If Yes, Please Provide Date(s) and Details: * End Section Desired Job Details What Department are you Applying For? * Vacuum & Drying Attendant Greeter Cashier Detail Type of Employment Desired: * Full-time Part-time Temporary Seasonal Desired Salary? * Start Date Available for Work? * What is your Availability? (Listed are current store hours) (*) * Monday- 8:00am-6:00pm Tuesday- 8:00am-6:00pm Wednesday- 8:00am-6:00pm Thursday- 8:00am-6:00pm Friday- 8:00am-6:00pm Saturday- 8:00am-6:00pm Sunday- 8:00am-3:00pm End Section Skills How Skilled are you with E-Mail and Internet * 1 2 3 4 5 How Skilled are you with Cashier Systems, POS * 1 2 3 4 5 What other relevant skills do you have? Please Copy Your Resume Into the Box Provided End Section How did you hear about us? How did you hear about us? * Were You Referred by an Employee? * Yes No If Yes, Who Referred you? * Have you worked here before? * Yes No If yes, what dates and positions? * End Section Current & Previous Employment Employer * Address * Phone Number * Starting Job Title / Ending Job Title * Supervisor Name and Title * Are you currently working here? * Yes No If No, please explain why you left * Briefly Describe type of work performed and job responsibilities * Date Started * Date Ended * End Section Professional References (Work Related References, Non-Family) Must Provide at least 2 Reference Name (First and Last) * Position and Title * Relationship to you * Number of years known? * Phone # * End Section Contact May we contact your references? * Yes No May we contact your previous employers? * Yes No End Section Sign and Send Electronic Signature * End Section reCAPTCHA Submit If you are human, leave this field blank.