Gretchen's Hallmark & Lucy's Gift Boutique Employment Application
GA/SC District
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Email *
First Name
Last Name
Phone Number
Address
City
State
Zip
Are you over 18 years of age?
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Have you been convicted of any crime, excluding minor traffic violations, including DWI
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Employment Desired
Location Desired *
Required
Pay Desired (Per Hour)
Date available to start
MM
/
DD
/
YYYY
Have you ever applied with our company before?
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If yes where?
Have you ever worked for our company before
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If yes, where?
What days are you available to work
Mornings
Evenings
All Day
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Are you now, or do you expect to be engaged in any other employment?
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Are you currently in school?
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Do you have previous merchandising experience?
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Do you have previous cash register experience?
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What languages do you speak fluently?
Do you have any limitations that may affect your ability to perform the job for which you are applying?
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If yes please describe:
Have you ever been injured on the job?
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If yes, please describe:
Will you abide by the safety rules of this company?
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Are you willing to take a physical exam and a drug screen test at company expense?
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Have you ever received treatment for alcohol or drug use?
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Have you used any illegal drug, including marijuana, in the past 12 months?
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Days lost to illness in the past 2 years:
Reason
IF you worked in any of your previous positions under another name, please give that name:
Are you presently employed?
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If yes, may we contact your current employer?
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Work Experience
List names of employers in consecutive order with your present or most recent job first
Name of business
Location
Phone Number
Supervisor Name
Dates employed
Reason for leaving
Name of business
Location
Phone Number
Supervisor Name
Dates Employed
Reason for leaving
Name of business
Location
Phone Number
Supervisor Name
Dates employed
Reason for leaving
I clarify that the answers given by me to the foregoing questions and statements are true and correct without any consequential omissions of any kind whatsoever. I understand that my misleading or incorrect statements may render this application void and, If employed, would be cause for termination. I further agree that the company shall not be liable in any respect if my employment is terminated because of falsity of statements, answers, or omissions made by me in this questionnaire. I also authorize the companies, schools, or persons named above to give any information regarding my employment, character, and qualifications and hereby release said companies, schools, or persons from all liability for any damage for issuing this information. I clarify that all statements and answers to the questions about my health are true and were made without reservations and agree to expressly waive all provisions of law prohibiting any physician, person, hospital, or other institution from disclosing to the company any information regarding treatment rendered now and in the future. I further understand that taking drug tests is a condition of employment and refusal to take such tests when asked will subject me to termination. I also understand that no person is authorized to enter into any written or verbal employment contracts on behalf of the company without the express written consent of the owner/president.
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