GiftsForYouNow Application

Full Name:

Current Address:

City:

State:

Zip Code:

Home Phone:

Cell Phone:

Email:

Position(s) Applied For:

Salary Desired:

Hours Available To Work:

Monday:

Tuesday:

Wednesday:

Thursday:

Friday:

Saturday:

Sunday:

Full Time Part Time Full or Part Time

When Can You Begin Work:

Education:

Type of School	Name of School/City/State	No. of Years Completed	Diploma or Degree?
High School	Field is Required	Field is Required	Field is Required
College or Trade
Professional
Other

Are you willing to undergo a background check, in accordance with local laws/regulations?

Yes No

WORK EXPERIENCE: Please list the names of your present or previous employers in chronological order with present or last employer listed first. Account for all periods of time including any period of unemployment. If self-employed, supply firm name and business references. You may include any verifiable work performed on a volunteer basis, internships, or military service. Your failure to completely respond to each inquiry may disqualify you for future consideration from employment.

Employer

Name:

Address:

Type Of Business:

Telephone:

Dates Employed:

From

Job Title:

Duties:

Supervisor's Name:

May we contact?

Yes No

Wages:

Start:

Final:

Reason for Leaving:

What will this employer say was the reason your employment terminated:

How much notice did you give when resigning? If none, explain:

Employer

Name:

Address:

Type Of Business:

Telephone:

Dates Employed:

From

To:

Job Title:

Duties:

Supervisor's Name:

May we contact?

Yes No

Wages:

Start:

Final:

Reason for Leaving:

What will this employer say was the reason your employment terminated:

How much notice did you give when resigning? If none, explain:

I authorize the Company or its agents to confirm all statements contained in this application and/or resume as it relates to the position I am seeking and to the extent permitted by federal, state, or local law. I agree to complete any requisite authorization form for the background investigation.

I authorize and consent to, without reservation, any party or agency contacted by this employer to furnish the above-mentioned information. I hereby release, discharge and hold harmless, to the extent permitted by federal, state, and local law, any party delivering information to the Company or its duly authorized representative pursuant to this authorization from any liability, claims, charges, or causes of action which I may have as a result of the delivery or disclosure of the above requested information. I hereby release from liability the Company and its representative for seeking such information and all other persons, corporations, or organizations furnishing such information.

If hired by this Company, I understand that I will be required to provide genuine documentation establishing my identity and eligibility to be legally employed in the United States by this Company. I also understand this Company employs only individuals who are legally eligible to work in the United States for this Company.

THIS APPLICATION WILL BE CONSIDERED ACTIVE FOR MAXIMUM OF SIXTY (60) DAYS. IF YOU WISH TO BE CONSIDERED FOR EMPLOYMENT AFTER THAT TIME, YOU MUST REAPPLY.

I CERTIFY THAT ALL OF THE INFORMATION THAT I HAVE PROVIDED ON THIS APPLICATION IS TRUE, ACCURATE AND COMPLETE.

Please Type Your Name to Sign:

Date:

SUBMIT