Job Application: General Staff

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

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

Desired Pay
Full-Time or Part-Time?	Full-time Part-time
Number of hours per week
Have you ever worked for us before?	Yes No
Have you ever applied to work for us before?	Yes No

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

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.