Employment Application Name * First Name Last Name Date * MM DD YYYY Address * Email Phone * (###) ### #### Emergency Contact and Phone # Additional Information Are you a U.S. Citizen? * Yes No Date available to start * MM DD YYYY Wage Desired Education High School Attended Did you graduate? * Yes No College Attended * Did you graduate? * Yes No Experience: Occupation 1 Job Role/Company * Dates Employed: Start Date-End Date * Why did you leave? * Experience: Occupation 2 Job Role/Company* * Dates Employed: Start Date-End Date * Why did you leave? * Experience: Occupation 2 Job Role/Company * Dates Employed: Start Date-End Date * Why did you leave? * Times and Dates Available for Work Day of the week * Sunday Monday Tuesday Wednesday Thursday Friday Saturday Hours desired Full-time Part-time Seasonal Permanent Additional Information Are you employed now? * Yes No If you are employed, may we contact your current employer? * Yes No Have you ever been convicted of a crime? * Yes No If yes, please explain below Have you ever shopped at The Toggery before? What was your experience like? * Why would you like to work for The Toggery? * What are your plans for the next year? * What experience do you have that qualifies you for a position with The Toggery? * Is there anything else you would like us to know about you? Please provide names and contact information for two professional references. * I authorize investigation of all statements contained in this application. I understand that misrepresentation or omission of facts is cause for dismissal. * "I authorize" Thank you for your interest in working with The Toggery. - Cheers! The Toggery Team
