Employment Application
Please complete the following form. All required fields are marked with asterisks (*).
First Name
*
Last Name
*
Address
*
City
*
State
*
Choose State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
*
Phone
*
Email
*
What is the best way to contact you?
*
Phone
Email
What is the best time to contact you?
*
Morning
Afternoon
Evening
Position Desired
*
Please choose from below
Customer Service Rep
Collector
Furniture Repair
Information Technology
Quality Control
Retail Office Manager
Retail Office Assistant
Sales Person
Sales Manager
Store Manager
Warehouse Worker
Other Position
Did you complete High School?
*
YES
NO
Did you complete college?
*
YES
NO
If yes in what field?
Did you have special licensing or certifications?
*
YES
NO
If yes in what field?
Can you travel if required?
*
YES
NO
Have you been convicted of a felony within the last 7 years?
YES
NO
(A yes or no answer to the above question does not necessarily disqualify applicant from employment.)
Have you worked for this company before? *
YES
NO
Are you willing to undergo a drug screen?
YES
NO
What's your work availability? Can you work Days, Evening, Weekends, Holidays, or shifts?
Days
Evening
Weekends
Holidays
Are you 18 years old or older ?
*
YES
NO
Are you legally eligible to work in the United States? (If so, please include your legal document in your resume)
*
YES
NO
How did you hear about this position?
Please choose from below
Indeed
Newspaper
Internet
Referral
Other
Desired Salary
*
Other (please specify)
If referred, what is the employee's name?
Attach your resume
Choose your file
Attach Legal Document (Optional)
Choose your file
