Employment Application

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Personal Information
E-Mail:*
First Name:*
Last Name:*
Address Line 1:*
Address Line 2:
City:*
State:*
Zip Code:*
Home Phone:*
Business Phone:
Cell Phone:
Work Preference
We are currently looking for employees at the following locations: North Ridge at 6116 Falls of Neuse Rd (corner of Spring Forest and Falls of Neuse Rd), Olive Park at 9414 Falls of Neuse Rd (corner of Litchford Rd and Falls of the Neuse Rd), and Brier Creek at 8081 Brier Creek Pkwy.
Can you work at North Ridge? Yes No
Can you work at Brier Creek? Yes No
Can you work at Olive Park? Yes No
Can you work at Stonehenge? Yes No
Date Available:*
Date Available:*
Date Available:*
Postion Applied For:*
Minimum Acceptable Hourly Wage?*
Would you work every Saturday & Sunday? Yes No
Maximum hours per week?*
In the section below - please indicate what days and hours you can work. If you select `other` please indicate what times you are available in the box. The stores close at 6pm, 8pm or 9pm employees are required to stay after store closing to perform cleaning and stocking duties.
Monday*
other
Tuesday*
other
Wednesday*
other
Thursday*
other
Friday*
other
Saturday*
other
Sunday*
other
Education
High School Name/Location:
Attended from:
Attended to:
Diploma Received:* Diploma Equivalency None
College Name/Location:
Degree Earned:
Attended from:
Attended To:
Major/Minor:
College Name/Location:
Degree Earned:
Attended from:
Attended To:
Major/Minor:
Employment History
Name Of Employer:*
Address Line 1:*
Address Line 2:
City:*
State:*
Zip Code:*
Employed From:*
Employed To:*
Employer Phone:*
Job Title:*
Supervisor Name:*
Reason For Leaving:*
Name Of Employer:
Address Line 1:
Address Line 2:
City:
State:
Zip Code:
Employed From:
Employed To:
Employer Phone:
Job Title:
Supervisor Name:
Reason For Leaving:
Name Of Employer:
Address Line 1:
Address Line 2:
City:
State:
Zip Code:
Employed From:
Employed To:
Employer Phone:
Job Title:
Supervisor Name:
Reason For Leaving:
Related Knowledge/Skills:*
Background
Have you ever been convicted of a felony or a first-degree misdemeanor?
* Yes No
North Carolina Labor Laws require the answer to the following question:
My age is*
Are you a U.S. citizen or are you legally authorized to work in the U.S.?
* Yes No
Are you able to climb ladders frequently on a daily basis without injury to yourself?
* Yes No
Are you able to handle, lift, and move 10 or more merchandise cartons weighing up to 40 lbs each on a daily basis without injury to yourself?
* Yes No
Are you able to consistently work 6 hours on your feet without a break?
Yes No
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, individual disability or veteran status. In compliance with the immigration reform and control act, this employer will hire only individuals authorized to work in the US. By typing your name below, you authorize the company to investigate any and all statements or information contained in the application. You understand that any omissions, inaccuracies or false statements on this application shall be grounds to deny your application. If you are already employed at the time the mis-statement is discovered it will be grounds for termination. You understand that if employed by this company you will be an at-will employee and will be required to follow all rules and regulations of the company, and that your employment can be terminated at any time for any reason or you can quit at any time. However, quitting this position without providing two weeks notice may result in being paid at minimum wage for any unpaid hours. You acknowledge that no one at the company has promised that you would remain employed for any length of time and you understand that no one other than an officer of the company is authorized to make such a promise. Please indicate if you have read and understand the above.
I agree and understand the above* Yes No
Type Signature*
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