Retail Store Job Application Form



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YES If no, are you authorized to work in the U.S. Are you a citizen of the United States YES NO YES NO Have you ever worked for this company If yes, when Have you ever been convicted of a felony If yes, explain: Education High School: Address: YES NO Degree: Did you graduate College: Address: YES NO Did you graduate Other: Degree: Address: YES Did you graduate NO Degree: References Full Name: Relationship: Company: Phone: ( ) Phone: ( ) Address: Full Name: Company: Address: Relationship: NO Previous Employment Company: Phone: Address: ( ) Supervisor: Job Title: Starting Salary: Ending Salary: Responsibilities: From: To: Reason for Leaving: YES NO May we contact your previous supervisor for a reference Company: Phone: Address: ( ) Supervisor: Job Title: Starting Salary: Ending Salary: Responsibilities: From: To: Reason for Leaving: YES NO May we contact your previous supervisor for a reference Company: Phone: Address: ( ) Supervisor: Job Title: Starting Salary: Ending Salary: Responsibilities: From: To: Reason for Leaving: YES NO May we contact your previous supervisor for a reference Military Service Branch: From: Rank at Discharge: Type of Discharge: If other than honorable, explain: Employment Test ( No Calculator Please ) 1..

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