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Team Member
Qualifications:
Able to work nights/weekends
Reliable transportation to work
Ability to lift 20 lbs
Starting pay $ 15.00 per hour
Job Category:
Sales
Job Type:
Full Time
Job Location:
Bakersfield
Shafter
Employee Application
AN EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION EMPLOYER M/F/H/V
"
*
" indicates required fields
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7
14%
APPLICANT INFORMATION
In order for you to be considered for employment, the application must be filled out COMPLETELY.
Date Of Application
MM slash DD slash YYYY
Which location are you applying for?
6501 Panama Lane Bakersfield, CA 93313
6010 E. Lerdo Hwy. Shafter, CA 93263
35300 Merle Haggard Drive, Bakersfield, CA 93308
2051 Taft HWY, Bakersfield, CA 93313
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Armed Forces Americas
Armed Forces Europe
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State
ZIP Code
Previous Address
Street Address
City
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
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Are you under 21 years of age?
No
Yes
Social Security Number:
If yes, date of birth
MM slash DD slash YYYY
Have you worked for any of our locations?
*
No
Yes
Which location(s)?
6501 Panama Lane Bakersfield, CA 93313
6010 E. Lerdo Hwy. Shafter, CA 93263
35300 Merle Haggard Drive, Bakersfield, CA 93308
2051 Taft HWY, Bakersfield, CA 93313
Select All
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Are you a U.S. Citizen?
Yes
No
Are you authorized to work in the U.S.?
Yes
No
Have you ever been convicted of a felony?
No
Yes
Please explain:
(Convictions will not necessarily exclude you from employment, dates and type on conviction will be considered for job placement.)
AVAILABILITY/POSITION
Date Available
MM slash DD slash YYYY
Desired Salary
Position Applying for:
Referred by:
Are you able to work:
Full-Time
Part-Time
How many hours are you able to work weekly?
AM Availability
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
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PM Availability
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
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Please answer the following questions honestly.
Are you familiar with the cash register?
Yes
No
Do you like working out doors?(windows,pump etc)
Yes
No
Do you like working with a lot of people?
Yes
No
Would you be interested in management or assistant management positions?
Yes
No
Are you good with math?
Yes
No
Do you consider yourself a friendly and outgoing person?
Yes
No
Is there anything you would like us to know that may assist you in getting this job?
EDUCATION
High School
City
State
Last Year Completed
*
Freshman (1)
Sophomore (2)
Junior (3)
Senior (4)
Did you graduate?
Yes
No
Third Choice
Year Graduated
College
City
State
To
From
Did You Graduate?
Yes
No
Last Year Completed
*
Freshman (1)
Sophomore (2)
Junior (3)
Senior (4)
Type of Certification/Diploma/Degree received:
College
To
From
City
State
Last Year Completed
*
Freshman (1)
Sophomore (2)
Junior (3)
Senior (4)
Did you graduate?
Yes
No
Third Choice
Type of Certification/Diploma/Degree received:
EMPLOYMENT HISTORY
Start with present or most recent employment
Company
Phone
Address
Supervisor
Job Title
Starting Salary $
Ending Salary $
Responsibilities
From
To
Reason for Leaving
May we contact your previous supervisor for a reference?
Yes
No
Company
Phone
Address
Supervisor
Job Title
Starting Salary $
Ending Salary $
Responsibilities
From
To
Reason for Leaving
May we contact your previous supervisor for a reference
Yes
No
REFERENCES
Please list three references who have know you at least one year. Do NOT list former employers and/or relatives
Full Name
Relationship
Years Known
Phone
Address
Full Name
Relationship
Years Known
Phone
Address
Full Name
Relationship
Years Known
Phone
Address
DISCLAIMER
PHYSICAL RESTICTIONS OR LIMITATIONS | Do you have any restrictions or limitations that would interfere with your ability to perform the job for which you applying for? Examples may include back, joint, or limb impairments, allergies to food, chemicals, or cooking oils, asthma or other respiratory difficulties. (This information is necessary to avoid a job assignment which creates an occupational hazard or will result in substantial performance restrictions due to a personal, physical, mental, or medical restriction or limitation. All information is confidential.)
Yes
No
If yes, please explain:
I have completely read this application. It is our policy to hire only U.S. citizens and aliens who are lawfully authorized to work in the United States. All potential employees will be asked to verify employment eligibility prior to beginning work. I understand that misrepresentation or omission of facts called for is cause for termination. I understand that employment is contingent upon meeting the physical requirements of available positions and successful fulfillment of state requirements for licensing and registration. I also understand and agree that employment is for no definite period and may, regardless of the date of payment of wages, be terminated at anytime without prior notice and with or without cause. I authorize investigation of all statements in this application and of all other areas related to my eligibility for employment.
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