Professional Documents
Culture Documents
Jersey
GENERAL
NAME (Last, First, Middle)
INFORi]IATION
AreyouatleastlSyearsold?
lry]
nyes n ruO
AreyouatteastlOyearsotd?
AGE (lf you are under 18, you may have to provide a work permit before starting work)
n yeS !
XO
PHONE (Primary)
PHONE (Secondary)
POSITION
POSITION DESIRED FULL TIME (35+ Hrs/
Eln
Week)
SEASONAL ONLY
nl
WAGE DESIRED
WHEN AVAILABLE
wrLL
you woRK
n yEs E
r'to
ILABILITY
_SUNDAY
I\iIONDAY
TUESDAY
ffi'FRDAy
_SATURDAY
TIME TO
EMPLOYlilENT
CURRENT/LAST E[,4PLOYER NAME AND ADDRESS
RECORD
Please complete in full even ifyou have provided a resume. You may include mrlitary servte and venfiable work performed on a voluntary basis.
PHONE NUI\4BER
TYPE OF BUSINESS
MAY wE
nno
TO
JOB TITLE
SUPERT/ISOR MME/TITLE
WAGE RATE/SALARY
CURRENT/LAST
PHONE NUMBER
I
TYPE OF BUSINESS
MAY WE CONTAC,
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"Otr,tt^f
W ft trc
L-.,
*O
JoBTrLE
SUPERVISOR NAI\,IIE/TITLE
OUTTES Ar.rO
nTSPONSlBlLITES
DATES EI',4PLOYED
FROM:
REASON FOR LEAVING
TO:
WAGE RATE/SALARY
PHONE NUMBER
TYPE OF BUSINESS
cor\,rpANy? E yES E No
DATES EMPLOYED FROM: TO: WAGE RATE/SALARY
JOB TITLE
SUPERVISOR NAME/TITLE
P RO F E
List (2) persons familiar with your work ability (exclude relatives) NAME
SS IO
NA
REFERENCE
PHONE NUMBER
HOW LONG
NAME
PHONE NUMBER
HOW LONG
lovERl
EDUCATION
INSTITUTION HIGH SCHOOL NAME, STREET. CITY, ZIP
NUI\,4BER OF YEARS COMPLETED
CoURSE/lvlAJoR
DI
PLOI\i\AlCERTIFICATE OBTAINED
COLLEGE
ADDITIONAL TRAINING
I
THER INFORMATION
HOW DID YOU LEARN OF THIS POSITION?
WALK.
IN
SIGN
INTERNET
AGENCY
NEWSPAPER
ASSOCIATE REFERRAL
tr
tr
tr
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HAVE YOU EVER WORKED OR APPLIED FOR THIS OR ANY BED BATH & BEYOND COI\,4PANY (BB&8, CTS, HARMON OR BUYBUY BABY) BEFORE? IF YES, PLEASE INDICATE LOCATION AND DATES OF APPLICATION AND/OR Efu4PLOYMENT:
n
YES
HAVE YOU EVER BEEN DISMISSED OR ASKED TO RESIGN FROM ANY EMPLOYER?
IF
n
YES NO
DO YOU HAVE ANY RELATIVES EMPLOYED BY CHRISTMAS TREE SHOPS? IF YES, PLEASE SPECIFY:
YES
NO
tr
YES
tr
NO
TO BE COMPLETED BY APPLICANTS IN NON-IIASSACHUSETTS LOCATIONS ONLY: HAVE YOU EVER BEEN CONVICTED OF A FELONY? IF YES. PLEASE EXPLAIN: NOTE: A conviction will not neressarily result in a denial of employment. Employment deisions will be dependent upon a review of the naiure/date of
conviction and position applied for.
may require.
SIGNATURE
CERTIFICATTON
employment. My signature certifies that I have read and agree with the above statements. SIGNATURE DATE
any