What position are you applying for? Sales Associate Inventory Associate Assistant Manager Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Email * Date Available MM DD YYYY Desired Salary Are you a citizen of the United States * Yes No If no, are you authorized to work in U.S.? N/A Yes No Have you ever been convicted of a felony? * No Yes Education Highschool Have you graduated? Yes No College Name and State Have you graduated N/A Yes No Employment Company Name Phone (###) ### #### City and State of Employer Manager's Name Start Date MM DD YYYY End Date MM DD YYYY Ending Salary Title Responsibilities Reason for Leaving Company Name Phone (###) ### #### City and State of Employer Manager's Name Start Date MM DD YYYY End Date MM DD YYYY Ending Salary Title Responsibilities Reason for Leaving Thank you!
