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Job Application
Personal Information
*
First Name:
MI:
*
Last Name:
*
Address:
*
City:
*
State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
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Mississippi
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Montana
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New Hampshire
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New Mexico
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Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
*
Zip Code:
*
Phone Number:
*
Email:
*
Would You Work...
Part-time
Full-time
Any
*
Are you legally authorized to work in the United States?
Yes
No
*
Illinois Applicants - Are you at least 21 years of age?
Yes
No
N/A
*
All other applicants - Are you at least 18 years of age?
Yes
No
*
Have you been employed by Stop-N-Go before?
Yes
No
Please enter previous Stop-N-Go employment location and dates:
*
Do any of your friends or relatives work at Stop-N-Go?
Yes
No
Please enter the names of your friends or relatives who work at Stop-N-Go names and the store locations:
*
Position Applying For:
Customer Service
Food Service
Assistant Manager
Manager
Office
*
Rate of Pay Expected:
*
Date You Can Start:
Education
Highest Level of Education Attended:
High School
HSED
College
Did you graduate?
Yes
No
Name:
Address:
City:
State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
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
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code:
Most Recent Employer
Name:
Address:
City:
State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
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
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code:
Phone Number:
Dates of Employment:
From:
To:
Salary:
Start:
Per:
Finish:
Per:
Position or Title:
Person to whom you reported:
Business Type:
Reason for Leaving:
May we contact?
Yes
No
Second Most Recent Employer
Name:
Address:
City:
State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
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
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code:
Phone Number:
Dates of Employment:
From:
To:
Salary:
Start:
Per:
Finish:
Per:
Position or Title:
Person to whom you reported:
Business Type:
Reason for Leaving:
May we contact?
Yes
No
Additional Information
Provide any additional information needed to describe your qualifications for the position for which you have applied:
Explain any gaps in employment that are two weeks long or greater:
Specify what hours on which days and nights when you may not be regularly available for work:
Rank in 1, 2, 3 order your shift preferences:
Days:
1
2
3
Afternoons/Evenings:
1
2
3
Midnights:
1
2
3
*
I have read, understand and agree to the
"Notice to Wisconsin and ALL Applicants"
.
Yes
No
*
I understand that if I am hired by Stop-N-Go and I am subsequently unable to obtain an operator's license, my employment may be terminated.
Initials:
*
I understand that employees are hired by the Stop-N-Go company; not by a specific store. As such, employees may be scheduled to work at different locations within reasonable proximity to each other.
Initials:
*
I understand that Stop-N-Go cannot make any guarantees regarding the number of hours available for work and I may be asked to work 1st, 2nd, or 3rd shift. I also understand that Stop-N-Go stores are open every day of the year and I must be available to work on weekends and holidays.
Initials:
Resume:
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