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Job title*
First name*
Middle Name*
Last Name*
Address
Street Address*
Street Address Line 2
City*
State*
ZIP Code*
Phone number*
Email*

Location Applying To*
Salary Desired
Date You Can Start
Are you legally able to work in the U.S.?
- Yes
- No

Days and Hours Not Available to Work
Monday
Please enter a value between 1 and 24.
Tuesday
Please enter a value between 1 and 24.
Wednesday
Please enter a value between 1 and 24.
Thursday
Please enter a value between 1 and 24.
Friday
Please enter a value between 1 and 24.
Saturday
Please enter a value between 1 and 24.
Sunday
Please enter a value between 1 and 24.
Can you work on weekends and holidays?
- Yes
- No
Have you ever been convicted, or pled guilty or no contest to a felony offense?
- Yes
- No
Checking "yes" will not necessarily disqualify you from employment.
If no, explain
If no, explain

Education
What is your current grade or education background?
Are you currently attending school?
- Yes
- No
Do you have any cash handling or computer skills? If so, give details:
If yes, where and what is your typical schedule?

References
Reference 1
Reference 2
Relationship
Relationship
Years Acquainted
Years Acquainted
Email
Email
Phone number
Phone number

Previous Employment
Previous Employer
Salary
Position
Reason for Leaving?
Start Date
End Date
Current Employment
Current Employer
Salary Desired
Position
Reason for Leaving?
Start Date
May We Contact?
- Yes
- No

Explain any unusual gaps in employment:
Any other information you would like to provide:
Have you worked here previously?
- Yes
- No
Emergency Contact
If yes, please give location(s) and dates:
Phone number

Background Check
I, test, test, test, hereby authorize SMBG – Sherman, LLC to investigate my background and credit for purposes of evaluating whether I am qualified for the position for which I am applying. I understand that SMBG – Sherman, LLC will utilize an outside firm or firms to assist it in checking such information, and I specifically authorize such an investigation by information services and outside entities of the company’s choice. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and my application for employment will not be processed further.
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Send Application
By clicking the submit button below, I hereby authorize an investigation which could include general identification information such as residence verification, and, as applicable, information concerning my employment, education, general reputation, character, and habits, and that such information may be obtained through third parties such as family members, acquaintances, former employers, educational institutions or other sources. Only job-related information developed from such a report will be considered while evaluating my employment application or continued employment. I hereby authorize these sources to answer all questions or release any information regarding the items listed above. I hereby release them from any liability and hold them harmless from any claim for releasing any truthful information within their knowledge and/or records. I further the Company to release to any person or organization with which I may seek employment in the future, any truthful information concerning my work experience with the Company. I hereby release and hold the Company harmless from any claim for releasing any truthful information within its knowledge and/or records. I certify that my answers to the foregoing questions and during any interviews are true and correct without any consequential omissions, and understand that, if employed, such omissions and/or false statements may result in dismissal. I understand and acknowledge that, if hired, SMBG – Sherman, LLC is an “at will” employer meaning my employment is for no definite period and either the Employer or I may terminate our relationship at-will at any time, without notice or any reason, and that this employment application does not constitute an employment contract. This application will remain open for consideration for a period of 30 days and ay the expiration of that period, should an individual seek consideration for employment, he/she must reapply.

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