Employee Application Form

Application for Hire at Neighbors Mercantile Company

Name *

First

Last

Email *

Date of Birth *

Legal Guardian

First

Last

If you are under the age of 18, we require the name of your legal guardian be listed on any application.

Phone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Position Details

In this section, you will provide details about your job preferences.

I am interested in working: *

Cashier or Sales Clerk
Stocking / Back of the House
Any positions

Select the option that best describes your preference.

I'm Most Interested In: *

Early Morning Shifts
Day Time Hours
Afternoon / Evening Hours
Any Shift

Select the options and hours you prefer or fit your schedule best.

I prefer to work: *

Full Time Hours
Part Time Hours
Seasonally (ex.Summer)

Select the option that best describes your availability.

Check the boxes that apply. *

This is my first job in a retail environment.
I have over 2 years experience in a retail environment.
I have more than 5 years experience in a retail environment.

Which field best describes you? *

I am a current high school student.
I am a current college student.
I have completed some high school.
I am not a current student.

Which field best describes you? *

I am currently unemployed.
I am currently employed.

Cover Letter, Resume, & References

Click or drag files to this area to upload. You can upload up to 3 files.

Optional: If you have an additional cover letter, resume, or resume - please upload a PDF here.

References

In this section, you will provide three references for our review.

List Name, Phone Number, Email, and your relationship to Reference. *

Example: Joe Boss, 123-456-1234, Joe@oldjob.com, Former Store Manager at Former Store

Signature

I certify that the information contained in this application is correct to the best of my knowledge. I understand that to falsify information is grounds for refusing to hire me, or for discharge should I be hired. I authorize any person, organization or company listed on this application to furnish NMCo any and all information concerning my previous employment, education and qualifications for employment. I also authorize officers of NMCo to request and receive such information.

Today's Date *