[BUSINESS] Application for Employment

[ENTER ORGANIZATION NAME] is an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis which includes race, colour, religion, national origin, age, sex, sexual orientation, the presence of physical and mental disabilities, or any other basis prohibited by Federal, State, or Provincial law. [ENTER ORGANIZATION NAME, ADDRESS] Phone: (123) 456-6789 Email: YourName@YourEmail.com Website: YourWebsite.com

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Personal Information

Please complete the entire application to ensure processing
Date * / MM / DD YYYY
Your Name * First Middle Last
Social Security / Social Insurance Number *
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Are you less than 18 years old? *
Yes No
Have you worked here before? *
Yes No
If yes, which stores or locations, and dates?
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Address *
Address Type Street Address Address Line 2 Apartment City State / Province / Region Postal / Zip Code Country
Have you been convicted of a crime in the last seven (7) years? *
Yes No
If yes, list convictions that are a matter of public record (arrests are not convictions). A conviction will not necessarily disqualify your eligibility for employment
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U.S. APPLICANTS ONLY: Are you legally eligible for employment in the U.S.? (all new hires will be required to provide proof of eligibility to work in the United States)
Yes No
Position

Please complete the following to ensure that your application is received by the appropriate department
What position are you applying for? *
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Are you interested in a full-time or part-time position? *
Full-time (min 28 hours per week) Part-time (less than 28 hours per week) Seasonal or temporary
How did you learn about this opportunity? *
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If you were referred by someone within our organization, please enter their name below First Last
Availability

Due to the nature of our business, the more available you are, the more opportunities we can consider for you.
Date available to start * / MM / DD YYYY

Please let us know when you are available to work below: *
	Any time	Mornings only	Days only	Afternoons only	Evenings only
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Any other comments?
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Please upload your resume *
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[BUSINESS] Application for Employment

[BUSINESS] Application for Employment

Personal Information

Position

Availability