Email address    (Important)

First Name   

Last Name    Last four digits of Social Security Number

Present Address  city

State Zip Code 

Phone #    Referred by newspaper friend internet other

Position Desired

Type of position desired Full time - permanent Full time - temporary (summer, seasonal) Part time - permanent Part time - temporary (summer, seasonal) Holiday Season (11-27 thru 12-7)   (Part time only available at this time)

If part-time, please list hours and days of week available and number of hours desired (Our hours of operation are Monday - Friday 8am to 5pm)

Date you can start salary desired

Are you employed yes no   may we inquire of your present employer yes no  

Ever applied to this company before?  yes no   when

Have you ever been convicted of a felony? Yes No

                    Name/location of school   years attended   Graduate?   Year Graduated

High School                        no yes           

College                               no yes           

If applying for part time employment, please describe why part time work will be a good fit for you

Please list any skills, hobbies or areas of interest below

Former Employers

  Dates                   Name of employer              Salary         Position            Reason for leaving      Briefly Describe Duties                                         Employer Phone #

Personal References

 Name                             Phone                            Years known

Year/Make/Model of your transportation

Do you have a Valid Texas Drivers License yes no

Do you have Auto Liability Insurance in force yes no

Please list all traffic citations or traffic accidents for the last 3 years and DWIs in the last 5 years

Please tell us how you can contribute to our organization

Is it legal for you to work in the United States?    If not, please explain.

Do you speak, read and write English fluently? 

Thank you for your application