Select a Store:


Math Test:

1. If x and y are odd numbers such that 10 < x < y < 14, what is the value of x + y?

24
27
19
32
15

2. What is 40% of 80?

40
33
32
55
10

3. What is 86 + 23 - 44?

63
64
65
66
67

4. What is 23?

0
2
4
6
8

5. What is the average of 18, 24 and 26?

21.80
22.67
23
25.23
23.33

Job Test:

1. You've done your share of troublemaking.

Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree

2. When your friends need help, they call you first.

Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree

3. You avoid arguments as much as possible.

Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree

4. You don't worry about making a good impression.

Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree

5. You keep calm when under stress.

Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree

Job Test:

1. You are not afraid to tell someone off.

Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree

2. Your friends and family approve of the things you do.

Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree

3. You love to be with people..

Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree

4. You criticize people when they deserve it.

Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree

5. You do not like to take orders.

Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree

Application Part 1: General Information

Name: Date of Birth: Phone Number:
First MI Last M D Y

Address:
Street Address Apt # City State Zip Code

Email: Date Available: Desired Position:

Are you a citizen of the United States? Yes No
If no, are you authorized to work in the US? Yes No
Have you ever been convicted of a felony? Yes No
  If yes, explain:

Application Part 2: Education

High School: Location:
City State Zip Code

Attended From: To: Graduated? Yes No Degree:


College: Location:
City State Zip Code

Attended From: To: Graduated? Yes No Degree:


Other Education: Location:
City State Zip Code

Attended From: To: Graduated? Yes No Degree:


Application Part 3: Previous Employment

Company/Employer: From: To:

Address:
Street Address City State Zip Code

Position: Pay: Reason for Leaving:
Start End

Responsibilities:

Supervisor: Phone Number: May we contact them? Yes No

Company/Employer: From: To:

Address:
Street Address City State Zip Code

Position: Pay: Reason for Leaving:
Start End

Responsibilities:

Supervisor: Phone Number: May we contact them? Yes No

Company/Employer: From: To:

Address:
Street Address City State Zip Code

Position: Pay: Reason for Leaving:
Start End

Responsibilities:

Supervisor: Phone Number: May we contact them? Yes No


Application Part 4: Military Service

Branch of Military: From: To:

Type of Discharge Rank at Discharge

If other than honorable, explain:
Do you have other comments:  


Application Part 5: References

Name: Relationship: Company:
First Last

Address: Phone Number:
Street Address City State Zip

Name: Relationship: Company:
First Last

Address: Phone Number:
Street Address City State Zip

Name: Relationship: Company:
First Last

Address: Phone Number:
Street Address City State Zip


Application Part 6: Disclaimer and Signature

Any questions or comments?

If hired, I understand that false or misleading information in my application or interview may result in immediate termination.

I certify that my answers are true and complete to the best of my knowledge.

Electronic Signature: Date: