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Position Desired
Hourly Wage Desired
Date Available
MM slash DD slash YYYY
Personal Information
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Home Phone
Cell Phone*
Email*
Enter Email Confirm Email
Are you over the age of 18?*
- Yes
- No
Are you a U.S. Citizen*
- Yes
- No
Have you ever been convicted of a felony?*
- Yes
- No
If selected for employment, are you willing to submit a pre-employment drug screening test?*
- Yes
- No
Education
HIgh School Name
School Address
Street Address Address Line 2 City State ZIP Code
Last Year Attended
Graduated?
- Yes
- No
Still Attending?
- Yes
- No
Previous or Current Employment
Employer
Work Phone
Pay Rate
Work Address
Street Address Address Line 2 City State ZIP Code
Position
Duties Performed
Still Employed?
- Yes
- No
Reason for leaving
May we contact them?
- Yes
- No
References
Full Name
First Last
Years Known
Relationship
Phone
Full Name
First Last
Years Known
Relationship
Phone
Acknowledgement and Authorization
Untitled*
- I certify that all answers given herein are true and complete to the best of my knowledge
Untitled*
- I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision
In the event of employment, I understand that false or misleading information given in my application or interview may result in discharge*
- In the event of employment, I understand that false or misleading information given in my application or interview may result in discharge
Phone
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Applications will be reviewed by the hiring manager and kept on file.
Applicants will be called for interviews as needed.

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1.864.489.1515

or TEXT 864.800.6050

LOCATED OFF I-85 AT EXIT 90 AT THE GAFFNEY MARKETPLACE OUTLET MALL

1100 FACTORY SHOPS BLVD GAFFNEY SC, 29341

© 2021 The Big E Gaffney