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1011 Grove St • Shelby, NC 28152
(704) 600-6182

call us

(704) 600-6182

our address

1011 Grove St
Shelby, NC 28152

our hours

Tues-Wednesday11am-8pm
Thursday-Saturday 11am-9pm
Sunday 11am-3pm

Click Here for IN-STORE PICKUP OR DELIVERY

Employment Application

First Name(*):
Middle Name(*):
Last Name(*):
Email(*):
City(*):
State(*):
Zip(*):
Phone(*):
Do you have transportation(*):
 Yes
 No
Currently employed(*):
 Yes
 No
Date you can start(*):
Desired position(*):
Hours/days available(*):
Desired hours per week(*):
Have you worked for us before:
 Yes
 No
if yes, list dates and reason:
Are you a citizen of the U.S.:
If no, are you authorized to work in the U.S.?:
Have you ever been convicted of a felony?:

EDUCATION

High School and City(*):
Grade Completed(*):
Graduation Date:
College Name and City:
School Achievements:
List activities or hobbies:

EMPLOYMENT HISTORY

Most recent employer.

Employer name:
Starting wage:
Ending wage:
Start date:
End date:
Reason for leaving:
Type of business:
Position held:
Eligible for rehire:
 Yes
 No
Supervisior name:
Employer phone number:
May we contact:
 Yes
 No

Previous employer

Employer name (2):
Starting wage (2):
Ending wage (2):
Starting date (2):
Ending date (2):
Reason for leaving (2):
Type of business (2):
Position held (2):
Eligible for rehire (2):
 Yes
 No
Supervisor name (2):
May we contact (2):
 Yes
 No

REFERENCES

List three personal or professional references that we may contact:

Reference #1

Name(*):
Relationship to you(*):
Number of years known(*):
Reference phone:
Reference email:

Reference #2

Name (2):
Relationship to you (2):
Number of years known (2):
Reference phone (2):
Reference email (2):

Reference #3

Name (3):
Relationship to you (3):
Number of years known (3):
Reference phone (3):
Reference email (3):

Please make sure you answered all the required (*) questions before you submit.

If yes, explain:

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