SPREE - look good. do good.

Personal Information

Name*

Middle Name

First Name

Social Security No.

Present Address

Street

City

Phone No*

Referred By

Employment Desired

Position*

Date You can start

Wage Desired

Are you employed now ?

If so, may we contact your present employer?

Have you applied to this company before

Where ?

When ?

Available for

Store hours vary depending on location, are you able to work in varying shifts starting as early as 5:00 a.m. and lasting as long as 11:30 p.m.
(check one)

Monday

Tuesday

Wednesday

Thursday

Yes

No

Are you able to travel to other store locations?

Yes

No

Name of relatives employed at this company

Have you ever been employed
with this company?

Yes

No

Available For

Newspaper

Radio

Friend

other

(A conviction will not necessarily disqualify you from employment. Applicant is not to include convictions that have been sealed or expunged) Please explain

Have you ever been convicted of or pled guilty to a felony or other crime?

Yes

No

Did you serve in the military?

Yes

No

Federal Law requires that employers hire only individuals who are authorized to be
lawfully employed in the United States.

Are you a United States Citizen or authorized to work in the United States?

Yes

No

Are you over the age of 18?

Yes

No

If under 18 please give date of birth

Education

Name and Address of School

Course of Study

No of Yrs Completed

Did you Graduate?

Diploma or Degree Received

High School

Grammar School

College

Trade, Business
or
Correspondence
School

General

What Languages do you Speak Fluently?

Spanish?

Polish?

English?

Other?

Read?

Write?

Former Employees

List employment starting with your most recent position. Account for any time during this period that you were unemployed by stating the nature of your activities.

May we contact your present employer?

Yes

No

Past Employer?

Yes

No

If Yes, Provide Details

MM-DD-YYYY

From

From

From

From

To

To

To

To

Reason For Leaving

Position

Salary

Name, Address and
Phone number of Employer

References

Give below the names of three Persons not related to you, whom you have known at least one year

Years Acquainted

Business

Address and Phone Number

Name

01

02

03

04

Our jobs require a lot of standing, lifting and workingin a dusty environment. Are you able to perform the essential functions of the position for which you have applied,with or without reasonable accommodations?

No

Please Explain

I understand that, with my authorization, an investigation may be made whereby information is obtained regarding my character, previous employment, general reputation, educational background, credit record and/or criminal history, subject to applicable federal, state and /or local laws. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in immediate dismissal. I understand , also, that I am required to abide by all rules and regulations of Nandorf Inc.

I understand and agree that if employed, the employment will be" at will". That is, either I or Nandorf Inc. may end the employment relationship at any time for any reason, or for no reason. I understand that receipt of this application by Nandorf does not imply employment and that this application and/or any other Nandorf documents are not contracts of employment.

Date

Signature

Security Code

Date

Yes

Please type the above characters in Security code

Friday

Saturday

State

Zip Code

Sunday