Employment Application

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Email

Salary desired

Date Available to start work*

Are you currently employed?*

Yes
No

Are you authorized to work in the U.S.?*

Yes
No

Have you ever been convicted of a felony?*

Yes
No

Position Desired

Location preference*

Chelsea Store: 153 Hawthorne Street Chelsea, MA
Lynn Store: 2 Adams Street Extension, Lynn MA
Lynn store market place: 43 State st,Lynn MA
Any Location

Position Type

Full Time
Part Time
Either

Availability

Days
Evenings
Weekends Only
Any Available

Check all that apply

Highest Education level

English Language Mastery*

First Language
Not first language but conversational
Understand, but speak little of it
None

Previous Work Experience

Name of previous employer

Previous Employer Location

Date employment commenced

Date employment ended

Job Title and duties

Ending salary

Reason for Leaving

Other pertinent work experience

References

Reference Contact Information*

Provide 2 references of individuals whom you have known for at least 2 years (please include name, phone, and relation) If you have previously been employed please include at least one previous supervisor.

General Comments

Please tell us why we should hire you?*

please tell us how you heard about this opportunity?*

FACEBOOK POST
JOB WEBSITES
IN STORE
OTHER

Comments

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