Job Application: General Staff

Title: General Staff

Fields marked with an asterisk (*) must be filled out before submitting.

Personal Details

First & Last Name *
Social Security # *
Date *
Street Address *
City *
State *
Zip Code *
Email *
Phone # *
All other cities/states you have lived in the last 7 years
Do you have an answering machine or voicemail? * Yes
No
Are you less than 18 years of age? * Yes
No
If less than 18 years old, please check one 14-15 years
16-17 years
Are you eligible for employment in the US? * Yes
No
Current Driver License or State ID #
State Issued
Have you ever been convicted of a crime? * Yes
No
If yes, please explain
How were you referred to Caesar Creek Flea Market? Facebook
Indeed
On-Site
Employee
Other
Are you involved in any extra-curricular activities, now or later on, that would restrict or prevent you from working on the weekends? Yes
No
If yes, please explain

Position Details

Desired Pay
Full-Time or Part-Time? Full-time
Part-time
Number of hours per week
Have you ever worked for Treasure Aisles Flea Market or Caesar Creek Flea Market? Yes
No
Have you ever applied at Treasure Aisles Flea Market or Caesar Creek Flea Market? Yes
No

Education – High School

High School Attended
Address
Years Completed
Did you graduate? Yes
No
GPA
Major

Education – College

College Attended
Address
Years Completed
Did you graduate? Yes
No
GPA
Major

Education – College

College Attended
Years Completed
Did you graduate? Yes
No
GPA
Major

Skills

List skills relevant to the position you are applying for
Typing WPM
Computer Proficiency
List any certificates, training programs, professional affiliations, and activities not included above

Previous Employment – 1

Employer
City & State
Phone #
Supervisor Name & Title
Your Title
Reason for leaving
Rate of pay
Dates of employment
May we contact this employer? Yes
No

Previous Employment – 2

Employer
City & State
Phone #
Supervisor Name & Title
Your Title
Reason for Leaving
Rate of Pay
Dates of Employment
May we contact this employer? Yes
No

Previous Employment – 3

Employer
City & State
Phone #
Supervisor Name & Title
Your Title
Reason for Leaving
Rate of Pay
Dates of Employment
May we contact this employer? Yes
No

Professional References – 1

Name
Title
Company
Phone #
Professional Relationship

Professional References – 2

Name
Title
Company
Phone #
Professional Relationship

Professional References – 3

Name
Title
Company
Phone #
Professional Relationship

Final

I hereby authorize Caesar Creek Flea Market (CCM) to thoroughly investigate my background, references, employment record, criminal convictions, driving record, consumer credit, and any other matters related to my suitability for employment. I authorize persons, schools, my current and previous employer(s) and organizations contacted by CCM to provide any relevant information regarding my current and/or previous employment and I release all persons, schools, employers of any and all claims for providing such information. I understand that misrepresentation or omission of facts may result in rejection of this application, or if hired, discipline up to and including dismissal. I understand that I may be required to sign a confidentiality and/or non-compete agreement, should I become an employee of CCM. I understand that nothing contained in this application or conveyed during any interview which may be granted, is intended to create and employment contract. I understand that filling out this form does not indicate there is a position open and does not obligate CCM to hire me, I understand and agree that, if hired, my employment is at will, which means that it is for no specific period and may be terminated by CCM at any time for any reason. * I agree
Date
I certify that all the above information is correct. Typing your name will acts as your electronic signature.