Online Employment Application
Please input your Full Name.     Please enter your phone number.     Please input your Last Name.     Please enter your Street Address.     Invalid InputPlease Enter your City.     Please select your state.     Please enter your ZIP Code.     Please enter a valid email address.     
First Name: Phone:
Last Name: Cell Phone:
Street Address: State:
City: Email Address:
Zip Code:    
Describe your experience (professional or hobby) regarding fish keeping, aquatic plants, corals or ponds:
Describe your experience working in retail:
Please select if you are employed now.     Invalid InputInvalid InputInvalid InputInvalid InputInvalid InputInvalid InputInvalid InputInvalid InputInvalid Input

Current or Last Employer

Are you employed now? Where?
Starting Date: Ending Date:
Employer Address: Employer Phone:
May we contact? Supervisor:
Responsibilities: Reason for leaving?
Starting pay rate: Final pay rate:
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Previous Employer

Name: Employer Address:
Starting Date: Ending Date:
Employer Phone: Supervisor:
Starting pay rate: Final pay rate:
Responsibilities:
Reason for leaving?
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Previous Employer

Name: Employer Address:
Starting Date: Ending Date:
Employer Phone: Supervisor:
Starting pay rate: Final pay rate:
Responsibilities:
Reason for leaving?
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Education

School Name, Location & Subjects Studied: Years: Graduated
High School:
College:
Other:
Invalid InputInvalid InputInvalid InputInvalid InputInvalid InputInvalid InputInvalid InputInvalid InputPlease enter: When are you available to start?

Employment Type and Availability

Type of Employment:
Please list your available hours:
Saturday:
Sunday:
Monday:
Tuesday:
Wednesday:
Thursday:
Friday:
When are you available to start?
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References

Please give three additional references you are not related to and have known for at least one year.
Name: Phone Number: Business Phone Number: How Long?
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Have you ever been convicted of a felony? Answering 'yes' to these questions does not constitute an automatic bar to employment. If so, please explain:
Authorization
I certify that the facts contained in this application are true and complete to the best of my knowledge. I also understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigations of all statements contained herein and the references and employers listed above to give you any information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, unless it is in writing and signed by an authorized company representative.

Personal information is gathered and stored in a secure manner to prevent monitoring or interception. Human Resources and its designated online service providers do not share personal information with third parties.
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We are an Equal Opportunity Employer.

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