Employment

Full Name *

Present Address *

Phone Number *

Email *

How would you rate computer skills? *
1 2 3 4 5 

Position Applied for? *

When are you available for employment? *

What type of employment are you seeking? *

What store would you be willing to work at? *

Is there a time during the week that you would not be able to work? *

May we contact your employer? *
 Yes No

Have you ever been convicted of a felony? *
 Yes No


Record of employment: List your most recent employers first

Name of most recent employer *

Employer Address *

Phone Number *

Type of business *

Supervisors Name *

Rate of Pay *

Dates Employed *

Reason for leaving *

List the duties preformed, skills used or learned, advancements or promotions *

Other Employers

Employer 2

Employer2 Address

Phone Number

Type of business

Supervisors Name

Rate of Pay

Dates Employed

Reason for leaving

List the duties preformed, skills used or learned, advancements or promotions


Employer3

Employer3 Address

Phone Number

Type of business

Supervisors Name

Rate of Pay

Dates Employed

Reason for leaving

List the duties preformed, skills used or learned, advancements or promotions


Personal Information

Please tell us a little about yourself.

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Or you can email your resume to JMTAPPS@gmail.com