Applicant Information:
Store Applying For: Choose StoreJordans Crossing Store Date Available to Start: Email
Last Name: First Name: Middle Initial:
Address: City: State: Zip:
Home Phone: Cell Phone: I am at least 16 years old: Check I am over 18 years old: Check
Availability:
Special Skills and Qualifications:
I am available & desire to work FULL-TIME and have no restrictions on my hours or days.
I am available & desire to work PART-TIME each week (Complete sections A & B)
A: I am only available for PART-TIME because:
Student Other Job Other (explain)
B: I am available from: MON TUES WED THUR FRI SAT SUN
Education:
High School: Address:
From: to Did You Graduate? Yes No Degree/Specialty:
College: Address:
Other: Address:
Previous Employment: (Most Recent First)
Company: Phone: Supervisor:
Job Title: From: to Starting Salary: Ending Salary:
Responsibilities: Reason For Leaving:
References:
Name: Address:
Business: Years Acquainted:
Anything Else You Want To Add Here:
PLEASE READ THE FOLLOWING AND THEN PRESS SUBMIT
1. I understand that employment at Big Wireless is at-will and that either I or Big Wireless may terminate the employment relationship at any given time with or without cause or notice. If I am employed by Big Wireless, I will comply with all employment-related policies and requirements set forth by them.
2. I certify that all answers to questions in this application and all additional information I may have submitted are true and complete to the best of my knowledge. I understand that giving false information, misrepresentation or omission of faces may be grounds for denial of employment or discharge is hired.
3. I hereby acknowledge that I have read and understand the above statements. I voluntarily give Big Wireless permission to confirm by personal inquiry, or otherwise, information provided in this application. I release from all liability or responsibility Big Wireless and all persons, companies, or corporations providing information to Big Wireless about me.
Print Name Here: Date
