What is your full name? *
Your Current Street Address *
Current City *
State *
Current Zip Code *
Your Email address: *
If under 18 years of age, can you provide proof of authorization to work in the U.S?
Yes
No
What position are you applying for? *
Please select
Store Manager
Back Room Processing
Bric a Brac
Cashier
Sales Floor Staff
What date are you available for work? *
What hours are you available to work? *
Please select
Full Time - Any Shift
Full Time - Weekdays Only
Full Time - Afternoons Only
Full Time - Any Shift Except Weekends
Part Time - Any Shift
Part Time - Weekdays Only
Part Time - Weekday Evenings Only
Part Time - Weekends Only
High School Name / Address / Year Graduated: *
College or University Name / Address / Year Graduated:
Trade or Technical School Name / Address / Year Graduated:
Graduate School Name / Address / Year Graduated:
Do you have any Degrees or Certificates that you would like to share that you feel will help in the position(s) applied for?
May we contact your previous employers? *
Yes
No
Current or most previous employer: *
Prior employer: *
Prior employer: *
List of references: *
Curent License Information *
All licenses held in the past 3 years.
Accident record for last 3 years.
*
Have you ever been denied a license, permit or privilege to operate a motor vehicle? *
Yes
No
Have you ever filed an application with The Salvation Army before? *
Yes
No
Has any license permit or privilege ever been suspended or revoked? *
Yes
No
Traffic Convictions / Forfeitures for past 3 years. *
Have you ever worked for The Salvation Army in the past? *
Yes
No
If you have worked for The Salvation Army in the past, provide the locations and dates of employment.
Have you been convicted of a MISDEANOR within the last two(2) years? *
Yes
No
If you have been convicted of a MISDEMEANOR, please explain.
Have you ever been convicted of a FELONY? *
Yes
No
If you have been convicted of a FELONY, please explain.
