Cashier Application
*Last Name
*First Name
Middle Name
*Street
*City
*State
*Zip Code
*Primary Phone Number
Other Phone Number
E-mail Address
*Are you over 21 years of age?
*If you are a US Citizen can you provide a social security card?
*If you are NOT a US Citizen can you provide us with legal documentation of work eligibility?
*Have you been convicted of any law violations in the past 7 years?
If yes, please explain:
*Date You Can Start (mm/dd/yyyy)
*Are you seeking:
Please explain:
*Check all you are willing to work:
*Please check days available for work schedule:
Additional comments on schedule availability:
*High School Attended
*Years Attendended
*Did you receive:
College Attended
Years Attended:
Did You Graduate?
If yes, what certificate or degree was received?
Please list any additional trades, education or skills you have:
*Name of Company
*Dates of employment
*Company Address
*Position Held
*Supervisor's Name
Starting Salary
Ending Salary
*Please provide us with a brief description of job duties perfomed
*Please provide us with a brief description of why you are no longer employed by this employer
*Did you leave on good terms?
*May we contact this employer?
*Phone Number of Buisness
*Name of Company
*Dates of employment
*Company Address
*Position Held
*Supervisor's Name
Starting Salary
Ending Salary
*Please provide us with a brief description of job duties perfomed
*Please provide us with a brief description of why you are no longer employed by this employer
*Did you leave on good terms?
*May we contact this employer?
*Phone Number of Buisness
*Name of Company
*Dates of employment
*Company Address
*Position Held
*Supervisor's Name
Starting Salary
Ending Salary
*Please provide us with a brief description of job duties perfomed
*Please provide us with a brief description of why you are no longer employed by this employer
*Did you leave on good terms?
*May we contact this employer?
*Phone Number of Buisness
Please provide us with three references we may contact excluding family members and individuals previously listed in your employment history.
*Reference #1
*Reference #2
Reference #3
I certify the answers given by me to the foregoing questions and statements are true and correct without consequential omissions of any kind whatsoever. I agree 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 application. I also authorize the companies, schools, or persons from all liability for any damage caused by issuing this information. I understand that any misleading or incorrect statements may render this application void, and if employed, would be cause for termination. I understand that, if employed, I have been at the will of the employer and that my employment may be terminated at will, at any time, and with or without cause, the employer's only obligation being to pay salary or wages due and owing within 48 hours of termination. I understand that if hired, I have been hired at the will of the employer and that my employment may be terminated at will at any time and with or without cause and subject to termination or discipline without notice or cause at the discretion of the employer. I further understand that the employer reserves the right to abolish or modify any personnel policy without prior notice.
*I have read, understand, and agree to the above statements.
