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ZIP Code *
Cell Phone Number *
E-Mail Address *
Position Applying For *
Date You Can Start *
If yes, approximately when?
Sunday *
Monday *
Tuesday *
Wednesday *
Thursday *
Friday *
Saturday *
Name of High School *
Name of College
Subject(s) Studied
Name Other Education
Most Recent Employer
Address
City/State/ZIP
Telephone Number
Position
Job Duties
If yes, who is the specific person to contact? Please include their name and phone number.
Employer
Address
City/State/ZIP
Telephone Number
Position
Job Duties
If yes, who is the specific person to contact? Please include their name and phone number.
Employer
Address
City/State/ZIP
Telephone Number
Position
Job Duties
If yes, who is the specific person to contact? Please include their name and phone number.
Employer
Address
City/State/ZIP
Telephone Number
Position
Job Duties
If yes, who is the specific person to contact? Please include their name and phone number.
By TYPING MY FULL NAME IN THE BOX BELOW, I certify that the information set forth in this Application for Employment is true and complete to the best of my knowledge. I understand that, if employed, false or misleading statements, misrepresentation, or omission of facts on this application shall be considered a violation of Minit Holdings, LLC's rules and will subject me to immediate termination. I understand that if offered employment, such employment shall be contingent upon proof of identity and verification of eligibility in the United States in accordance with the Immigration Reform and Control Laws. I authorize Minit Holdings, LLC to request of others including my current and any previous employers (except as previously noted on this application), any information concerning my previous employment, educational history, character, general reputation and similar background information. I here by release Minit Holdings, LLC and all parties and persons contacted to obtain any such information from all claims, liabilities, and demands for whatever reason.If employed, I agree to abide by Minit Holdings, LLC's policies and procedures. Futhermore, I understand that this is not a contract of employment, that I will not be employed for any specific period of time and that I may resign at any time with or without notice, and that Minit Holdings, LLC. may terminate my employment at any time, with or without cause and with or without prior notice and that any assurances of continued employment whether written, oral, or by conduct shall not be interpreted as changing that "at will" nature of my employment relationship with Minit Holdings, LLC unless specifically acknowledged in writing by an owner of Minit Holdings, LLC. *
I, THE FULL NAME TYPED IN THE BOX BELOW, hereby release all information pertaining to my criminal, credit, military and work history to Loss Prevention Group. I am aware that all of the above references, as well as my credit report may be reviewed to determine my suitability for employment. I also understand that Loss Prevention Group may perform a background check on me at any time and that this Criminal Check Request Form will be sent to The Loss Prevention Group by Minit Holdings, LLC (by Jeff Larson, jlarson@tcgstores.com, (360) 892-2878). *
If yes, please provide details and location(s).
Last Name of Applicant *
Maiden Name/Alias
First Name *
Date of Birth *
Social Security Number
E-Mail Address *
Current Address *
City *
State * Select a state Alabama Alaska Arizona Arkansas California Colorado Connecticut Deleware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennesse Texas Utah Vermont Virginia Washington West Virginia Wisconson Wyoming
ZIP Code *
Previous Address
City
State Select a state Alabama Alaska Arizona Arkansas California Colorado Connecticut Deleware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennesse Texas Utah Vermont Virginia Washington West Virginia Wisconson Wyoming
ZIP Code
By TYPING MY FULL NAME IN THE BOX BELOW, I acknowledge that all data provided is intended solely for the customer who initially receives such data from the provided. The provider cannot guaranty or warrant the accuracy, correctness, or completeness of the data. The provider delivers all data to customers on an "as is" "as available" basis without any express or implied warranty, guaranty, or representation of any kind concerning the data itself, its merchantability, or its fitness for a particular purpose of function. Neither the provider nor any of their affiliates shall be liable for any damages of whatever kind may result from the customer's reliance on (or use of) the data provided, even if the provider, or any of their affiliates has been alerted to the possibility of such damages. By assessing any such data, the customer acknowledges and agrees that the customer has not relied on anything that may be inconsistent with the Legal Statement. I understand that LPG, acting as the loss preventions department for the company I am seeking employment with, completes and provides criminal background check information to said company for final review for employment purposes. *
Date *