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Application
UNI -MART or TYRONE & STORE
APPLICATION FOR EMPLOYMENT
Personal Information  
Name
Date of Birth
Address
City
State
Zip
Home Phone
Cell Phone
Other
Email Address
Social Security Number
Are You 21 Years or Older? Yes No
Are You Employed NOW? Yes No
POSITION(S) APPLIED FOR:
Sales Assoc.   Store Manager.   Other
Date you can Start
EDUCATION  
School Name Location Year Attended Degreee Received Major
Other training, certification, or licenses held
List other information pertinent to the employment you are seeking
GENRAL  
Have You Ever Been Cinvicted of a Flony ? Yes No
If yes, describe
Have You Ever Been Cinvicted of a Misdemeanor involving Moral Turpitude? Yes No
If yes, describe
can you work Ovetime and Weekend ? Yes No
Specialized Training
Special Job-Realted Skill and Qualifications from Employment or Other Experience
MILITARY HISTORY
Present Membership in National Guard, Reserves or Military Service?
When ?
Current Status
   
EMPLOYMENT  
(Most Recent First.)  
Employer
Job Title
Dates Employed
Preiod position held with in company
Address
City
State
Zip
Phone
Supervisor
Starting Salary
Ending Salary
Duties Performed
Reason for Leaving
 
UNI - MART
RETAL DIVISION
1.
Reason for leaving  
2.
Employer
Job Title
Dates Employed
Priod position held with in company
Address
City
State
Zip
Phone
Job Title
Supervisor
Starting Salary
Ending Salary
Duties Performed
Reason for Leaving
3.
Employer
Job Title
Dates Employed
Priod position held with in company
Address
City
State
Zip
Phone
Job Title
Supervisor
Starting Salary
Ending Salary
Duties Performed
Reason for Leaving
4.
Employer
Job Title
Dates Employed
Priod position held with in company
Address
City
State
Zip
Phone
Job Title
Supervisor
Starting Salary
Ending Salary
Duties Performed
Reason for Leaving
   
ACKNOWLEDGMENT and AUTHORIZATION

I certify that answers given herein are true and complete to the best of my Knowledge.

I authorize investigation of all statements contained in this application for employment as mayu be necessary in arriving at an employment decision.

This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this period should inquire as to whether or not applications are being accepted at that time.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organizition is of an at will nature, which means that the employee my resign at any time and the employer may discharge employee at any time with without cause. It is further understood that this at will employment relationship may not be change by any written document or by conduct unless such change is specifically acknowledged in writing by an autthorized executive od this organization.

In the event of employment, I understand that false or misleading information given in my application Or interview(s) may result in discharge. I understand also, that I am required to abide by all rules and regualations of the employer.
Signature : Date :
     
 
 
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UNI-MART
341 West Lamb ST Bellefonte, PA 16823
Phone: (814) 353-1020
Fax: (609) 594-1933
Email: sunnyunimart@gmail.com