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Job Application

Select the categories that you are interested in: Auburn Jobs Decatur Jobs Guntersville Jobs Huntsville Jobs Montgomery Jobs Muscle Shoals

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

Select Store or Stores You Are Applying For *	Auburn Decatur Guntersville Huntsville Montgomery Muscle Shoals

Personal Details

First Name *
Middle Name
Last Name *

Contact Details

Address *
City *
Post code *
Country *
Telephone *
Email Address
Home Number
Cell phone
Do you have a degree? *	Yes No

Qualifications

Where did you complete your degree?
Title of your degree
Upload your Resume
If No Resume Please List Your Work Experience Here
Have you ever worked for Mikes Merchandise?	Yes No
If YES, provide dates
Location?
How were you introduced to us?	Employee Referral Newspaper Ad Walk in Internet College/University Dept of Employment Community Organization
Other
If hired, and you are under 18, can you furnish a work permit?	Yes No 18 or over
If hired, can you provide proof of identity and authorization to work in the United States?	Yes No

Employment Desired

Date Available for work:
Total hours available per week
Expected Rate of Pay:
What type of work are you looking for?	Part-time Full-Time Temporary
Are you willing to relocate?	Yes No
If yes, Where?
Will you travel?
Should your availability change during the course of your employment, it may impact your employment status based on business needs. While we may be able to accommodate your availability limitations upon hire, we do not guarantee that we will be able to support these limitations in the future. Should our business needs change, we may require an adjustment in your availability in order to maintain employment status.

Experience

Please give accurate and complete information. Start with present or most recent employer, including self-employment, part-time work, military employment and any work performed on a volunteer basis. Account for your entire employment history, including significant gaps in employment. All information must be included, even if you are attaching a resume.
Employer
Address (Street. City, State)
Telephone Number(s)
Reason for Leaving
Dates Employed
Work Performed

Starting
Final
Employer
Address (Street. City, State)
Telephone Number(s)
Reason for Leaving
Dates Employed
Work Performed

Starting
Final
Employer
Address (Street. City, State)
Telephone Number(s)
Reason for Leaving
Dates Employed
Work Performed
Hourly/Rate/Salary
Starting
Final
Employer
Address (Street. City, State)
Telephone Number(s)
Reason for Leaving
Dates Employed
Work Performed

Starting
Final

Education

Select highest grade completed:	6 7 8 9 10 11 12 Associate Degree Bachelor’s Degree Master’s Degree Doctorate Degree
High School Name
City
State
DIPLOMA OR GED RECEIVED?	Yes No
College: (list all, whether or not degree was obtained)
Name
Location
MAJOR FIELD OF STUDY
MINOR FIELD OF STUDY
DEGREES/ CERTIFICATION
RECEIVED?	Yes No
May we contact schools you attended to verify the above information?	Yes No

SKILLS AND QUALIFICATIONS

Please check all that apply:	Bookkeeping Calculator Data Entry Financial reports General Clerical Payroll Statistical Typing Switchboard Typing Microsoft® Excel Microsoft® Outlook Microsoft® Power Point Microsoft® Word Cash Office Cashier Customer Service Merchandiser Sales Associate Stock Room Fork-Lift Operator General Warehouse Inventory Clerk Maintenance Packer
Other
Typing Speed:
List any special training, experience, qualification or skill relevant to the position for which you are applying:

PROFESSIONAL REFERENCES

Provide name, work relationship, email address (if available) and telephone number of three supervisors/managers or other professional references that are not related to you:
Name
Work Relationship
Email Address
Telephone Number
Work Relationship
Email Address
Telephone Number
Name
Work Relationship
Email Address
Telephone Number
May we contact your references?	Yes No
If not, who and why?

SECURITY

Have you been convicted of a felony in the past seven (7) years?	Yes No
*In answering this question, you are not obligated to disclose any convictions that have been sealed, annulled, expunged, dismissed, erased, impounded, cleared, vacated, or officially pardoned.
If Yes, provide details including date, location (city), nature of offense and deposition:
If Yes, provide details:
Have you ever taken any merchandise, money, or property from an employer without permission?	Yes No

ACKNOWLEDGMENT AND AUTHORIZATION

I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an [at will] nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this [at will] employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer. Information to the applicant: As part of our procedure for processing your employment application, your personal and employment references may be checked. If you have misrepresented or omitted any facts on this application, and are subsequently hired, you may be discharged from your job. You may make a written request for information derived from the checking of your references. If necessary for employment, you may be required to: supply your birth certificate or other proof of authorization to work in the US, have a physical examination and/or a drug test, or to sign a conflict of interest agreement and abide by its terms. I understand and agree to the information shown above: Equal Employment Opportunity: While many employers are required by federal law to have an Affirmative Action Program, all employers are required to provide equal employment opportunity and may ask your national origin, race and sex for planning and reporting purposes only. This information is optional and failure to provide it will have no affect on your application for employment.
Electronic Signature of Applicant
Date
Notes