First Name

Last Name

Phone *

Email *

Date of birth

Sales Associate

Start Date

Desired Employment

Full Time

Part Time

Seasonal

M-F Schedule Options Morning 8:30-2:30, Afternoon 2:00-6:30, Flexible. Actual Schedule May Vary.

Days You Are Unavailable

Are you able to lift 30-50lbs?

Yes

Most Recent Employer

Position

Start/End Dates

Responsibilities

Reason for Leaving

Previous Employer

Position

Start/End Dates

Responsibilities

Reason for Leaving

Highest Level of Education

Skills

Have you ever been convicted of shoplifting, theft, fraud, or any money-related offense?

Yes

If Above Answer is Yes, Please Explain

Do you currently struggle with addiction to drugs or alcohol, or have you struggled with addiction in the past?

Yes

Prefer Not to Answer

Are you legally authorized to work in the United States?

Yes

Background Check Disclosure: I understand that Thrift on Main may conduct a background check as part of the hiring process. I authorize the verification of any information submitted in this application.

Yes

Authorization certify that the information provided is true and accurate. I understand that providing false or misleading information may result in disqualification.

Yes

Reference #1

Name
Phone
Relationship

Are You Currently on Parole?

Yes

Reference #2

Name
Phone
Relationship

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