Buy For Less Employment Application

• Represents information required to consider your application
No spaces, hyphens and parenthesis needed

Title

First Name
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Last Name
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Email Address
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Home Address
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City
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State
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Zipcode/Postcode
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Country
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Home Phone Number
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Cell Phone Number

Today's Date
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Are you at least 16 years old? •
Yes No

Social Security Number
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Are you eligible to be employed in the U.S.? • Yes No

Position Information

• Represents information required to consider your application

Position applied for:
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Pay Rate Expected:
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Would You Work: •
Full Time Part Time Overtime

Specify days and hours NOT available for work:
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Were you previously employed by us? •
Yes No

If yes, when and where?

*I realize that operating conditions may require me to work shifts other than the one for which I am applying and I agree to such scheduling change as directed by my supervisor or the management.

List any friends or relatives working for us, if none please put none in the box.

Name

How Related?

Name

How Related?

Have you been convicted of a felony? •
Yes No

If yes, please explain:

Summarize special skills and qualifications acquired from employment or other experience: (max 1,000 characters)

Education

School	Name and Location	Highest Grade Completed	List Degree or Diploma	Major
Secondary
College
Other

Employment History

Beginning with your most recent position, list all present and past employment.

1. Most Recent Employer •

1. Company Name
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1. Employed from
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1. Employed to
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1. Name of supervisor
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1. Address
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1. Rate of pay start
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1. Rate of pay end
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1. Your Title
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1. Phone
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1. Type of Business
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1. Reason for leaving
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1. Describe major functions of your job
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2. Previous Employer

2. Company Name

2. Employed from

2. Employed to

2. Name of supervisor

2. Address

2. Rate of pay start

2. Rate of pay end

2. Your Title

2. Phone

2. Type of business

2. Reason for leaving

2. Describe major functions of your job

3. Previous Employer

3. Company Name

3. Employed from

3. Employed to

3. Name of supervisor

3. Address

3. Rate of pay start

3. Rate of pay end

3. Your Title

3. Phone

3. Type of business

3. Reason for leaving

3. Describe major functions of your job

4. Previous Employer

4. Company Name

4. Employed from

4. Employed to

4. Name of supervisor

4. Address

4. Rate of pay start

4. Rate of pay end

4. Your Title

4. Phone

4. Type of business

4. Reason for leaving

4. Describe major functions of your job

I authorize the companies, schools, persons or entities named above to give any information regarding my employment, character qualifications, certifications and licenses and hereby release said companies, schools, persons, or entities from all liability for any damage for issuing this information. A favorable result may be a condition of employment where elements are job-related.

The facts set forth above in my application for employment are true and complete. I understand that, if employed, false statements on this application shall be considered sufficient cause for dismissal.

This application for employment is not intended to be a contract of employment. I understand that my employment is not for a specified term and that I may resign or be discharged at any time for any reason, with or without good cause and without prior notice.

If you agree to the above mentioned terms, please enter your full name in the box provided.
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PLEASE VERIFY ALL DATA CONTAINED IN THIS APPLICATION IS CORRECT BEFORE SUBMITTING THE FORM!

Buy for Less | Oklahoma City, Oklahoma

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