Last Name: *REQUIRED
First Name: *REQUIRED
Middle Name:
Home Address: *REQUIRED
City: *REQUIRED
State: *REQUIRED
Zip: *REQUIRED
Home Telephone: *REQUIRED
Work Telephone:
May we contact you at work?:
Position Applying for:
English Speaking?: *REQUIRED
Spanish Speaking?: *REQUIRED
Asking Pay:
Date you can start: *REQUIRED
Available Work Schedule:
Are you willing to travel to work at other store locations in / near Austin?:
We have work hours available from 8 a.m. to 9 p.m. Employees are expected to work nights and weekends as needed.
Please choose from the drop-down the hours you are available to work. These hours may not be available or offered.
Monday From:
Monday To:
Tuesday From:
Tuesday To:
Wednesday From:
Wednesday To:
Thursday From:
Thursday To:
Friday From:
Friday To:
Saturday From:
Saturday To:
Sunday From:
Sunday To:
Education
High School Name:
High School City / State:
Diploma / Degree / Certification obtained?
College / University Name:
College / University City / State:
Diploma / Degree / Certification obtained?
Other Certification / Training Name:
Certification / Training City / State:
Diploma / Degree / Certification obtained?
Legal
Are you a United States Citizen or do you have the legal right and necessary documents to work in the U.S.?
If under 18 years of age, please state your date of birth:
Have you ever been convicted of a crime other than a traffic violation?
*REQUIRED
The existence of a criminal record will not automatically disqualify you from the job for which you are applying but a false statement will. If yes, explain offense(s), dates, and final disposition:
WORK HISTORY
Most Recent Employer:
Most Recent Employer Address:
Most Recent Employer Telephone:
Most Recent Employer Start Date:
Most Recent Employer End Date:
Most Recent Employer Start Salary:
Most Recent Employer End Salary:
Most Recent Employer Start Position:
Most Recent Employer End Position:
Name and Title of Supervisor:
Description of Duties:
Reason for Leaving:
Past Employer 1:
Past Employer 1 Address:
Past Employer 1 Telephone:
Past Employer 1 Start Date:
Past Employer 1 End Date:
Past Employer 1 Start Salary:
Past Employer 1 End Salary:
Past Employer 1 Start Position:
Past Employer 1 End Position:
Name and Title of Supervisor:
Description of Duties:
Reason for Leaving:
Past Employer 2:
Past Employer 2 Address:
Past Employer 2 Telephone:
Past Employer 2 Start Date:
Past Employer 2 End Date:
Past Employer 2 Start Salary:
Past Employer 2 End Salary:
Past Employer 2 Start Position:
Past Employer 2 End Position:
Name and Title of Supervisor:
Description of Duties:
Reason for Leaving:
I certify that all the information provided by me in connection with my application, whether on this document or not, is true and complete, and
I understand that any misstatement, falsification, or omission of information may be grounds for refusal to hire or,
if hired, termination. I understand that as a condition of employment, I will be required to provide legal proof of authorization to work in the U.S..
I AGREE: *REQUIRED