Cashier sales associate

Employment Application

AN EQUAL OPPORTUNITY EMPLOYER

EDUCATION

Position: sales associate / cashier-- SALEM, MO

Name: Flowers, Brandon Michael

Present Address: *** ** ****,, *****, ** - 65560

County:

Borough/Township:

Email: ***************@*****.***

SSN: XXX-XX-1067

Home Telephone: --

Other Telephone Type: Cell

Other Telephone: 573-***-****

Education Name and

Location

Graduate

(Yes/No)

Diploma/

Degree/ GED/

Certification/

No. of

Credits

Course/

Major

Name At

Graduation

High School Salem

highschool

No

College/Univ

ersity

Business/

Trade/

Technical

Nursing/

Medical

Graduate

Work or

Other (incl

.Military)

BACKGROUND

OPTIONAL EEO-1 -

COMPLETION OF THIS FORM IS

VOLUNTARY AND WILL NOT AFFECT

YOUR OPPORTUNITY FOR

EMPLOYMENT, OR THE TERMS OR

CONDITIONS OF YOUR EMPLOYMENT.

THIS FORM WILL BE USED FOR EEO-1

REPORTING PURPOSES ONLY AND WILL

BE KEPT SEPARATE FROM ALL OTHER

PERSONNEL RECORDS ONLY

ACCESSED BY THE HUMAN RESOURCES

DEPARTMENT.

IF YOU CHOOSE NOT TO SELF-IDENTIFY

YOUR RACE/ETHNICITY AT THIS TIME,

THE FEDERAL GOVERNMENT REQUIRES

US TO DETERMINE THIS INFORMATION

BY VISUAL SURVEY AND/OR OTHER

AVAILABLE INFORMATION.

PLEASE ACKNOWLEDGE THAT YOU

UNDERSTAND THAT THE FOLLOWING

EEO-1 QUESTIONS ARE OPTIONAL AND

YOU ARE NOT REQUIRED TO ANSWER.

PLEASE SELECT YES BELOW.

Yes

EEO-1 QUESTION -

WHAT IS YOUR GENDER?

1) Male

EEO-1 QUESTION -

RACE/ETHNICITY: (PLEASE CHECK ONE

OF THE BELOW DESCRIPTIONS BELOW

THAT CORRESPONDS TO THE ETHNIC

GROUP WITH WHICH YOU IDENTIFY THE

MOST)

2) White (Not Hispanic or Latino) - A person

having origins in any of the original peoples of

Europe, the Middle East or North Africa

ARE YOU 18 YEARS OF AGE OR OLDER? Yes

ARE YOU LEGALLY ELIGIBLE TO WORK

IN THE UNITED STATES?

Yes

DO YOU HAVE RELIABLE

TRANSPORTATION?

Yes

HOW SOON COULD YOU START IF

HIRED?

IMMEDIATELY

Skills

LICENSE INFORMATION

WHAT IS THE MINIMUM WAGES PER

HOUR THAT YOU EXPECT? PLEASE

TYPE IN AN HOURLY AMOUNT.

12.00

HOW FAR ARE YOU WILLING TO TRAVEL

FOR WORK?

THE LOCATION WHERE I APPLIED ONLY

ARE YOU SEEKING FULL TIME OR PART

TIME?

EITHER

WHAT IS YOUR SHIFT PREFERENCE?

(FIRST CHOICE)

ANY

WHAT IS YOUR SHIFT PREFERENCE?

(SECOND CHOICE) IF ONLY AVAILABLE

ONE SHIFT, SIMPLY SELECT THAT SHIFT

AGAIN.

ANY

ARE YOU AVAILABLE TO WORK A

CHANGING SHIFT IF NECESSARY?

Yes

WHAT DAYS ARE YOU AVAILABLE TO

WORK? (PLEASE TYPE IN BELOW.)

EXAMPLE: "AVAILABLE ALL DAYS

EXCEPT TUESDAY" OR "ANYTIME" OR

"ONLY AVAILABLE MONDAY,

WEDNESDAY AND SATURDAY". PLEASE

BE SPECIFIC.

Anytime

WERE YOU REFERRED BY A CURRENT

EMPLOYEE?

IF YES, WHO?

No

Have you ever been employed by our

company?

No

How did you learn about this position? jobsite

May we contact your current employer? Yes

Very fast learner and can get the job done right

No License Information Entered

EMPLOYMENT INFORMATION

No Employment history entered

Personal/Professional References

ATTACHMENTS

No Attachments

First Name: Masen

Last Name: Steelman

Job Title:  

Phone Number: 573-***-****

Email:  

Number of years known: 4

Relationship:  

CERTIFICATION

Under pain of perjury, I, Brandon flowers, do certify that I have electronically signed this application and that the information is true and correct to the best of my knowledge, information and belief. I understand that if employed, falsified statements on this application shall be considered sufficient cause for dismissal. I agree to the these terms

Date: 07-14-23

Contact this candidate