Employment at Genesis ND | ShopGenesisND.com

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Employment Application

Please return application via mail or in person at
3210 3rd Ave West, Williston, ND 58801,
email at lenny@shopgenesisnd.com

Employment at Genesis Employment at Genesis Employment at Genesis

*Schedule Desired

Full Time Part Time Temporary/Seasonal

*Position Applying for

Manager Assistant Manager Sales Associate

*Salary Expected$/hour

*Date Available

General Information

*Last Name

*First Name

*Middle Initial

*Are you authorized to work in the U.S.?

Yes No

Present Street Address

*City

*State

*Zip

*Phone number

*Email Address

*Are you a military veteran?

Yes No

If yes, what branch?

Availability

Mon

From

Tues

From

Wed

From

Thurs

From

Fri

From

Sat

From

Sun

From

Education

High School

Name

City

State

Number of years attended

*Graduated?

Yes No

College

Name

City

State

Number of years attended

*Graduated?

Yes No

Other

Name

City

State

Number of years attended

*Graduated?

Yes No

References

name

City, State

Phone Number

Relationship

Name

Phone Number

City, State

Relationship

Name

City, State

Phone Number

Relationship

Employment History (List current or most recent first)

From

Name of company (city, state, type of business)

Last Salary$/hour

Hours per Week

Job Title

Summary of Responsibilities

Reason for leaving

Supervisor’s Name

Phone Number

*May we contact?

Yes No

From

Name of company (city, state, type of business)

Last Salary$/hour

Hours per Week

Job Title

Summary of Responsibilities

Reason for leaving

Supervisor’s Name

Phone Number

*May we contact?

Yes No

From

Name of company (city, state, type of business)

Last Salary$/hour

Hours per Week

Job Title

Summary of Responsibilities

Reason for leaving

Supervisor’s Name

Phone Number

*May we contact?

Yes No

From

Name of company (city, state, type of business)

Last Salary$/hour

Hours per Week

Job Title

Summary of Responsibilities

Reason for leaving

Supervisor’s Name

Phone Number

*May we contact?

Yes No

Employment Exam*please refrain from using a calculator

*1. Which number should follow the sequence? 144 121 100 81 64

*2. If a shirt is $50 and it is on sale for 20% off, what would be the price of the shirt?

*3. 88+50+26

*4. $20.00-$13.76

*5. A customer comes to the register and informs you that he was given the wrong change. Instead of receiving $1.84 he was only given $1.00. What would you do?

*6. Please prioritize the following qualities of Genesis from most important to least important and explain why. Comfortable Environment / Friendly service / Great product

*7. What personal qualities do you have that would greatly contribute to Genesis?

Signature

I certify that the information contained in this application is true, correct, and complete. I understand that if I become employed, false statements reported on this application may be considered sufficient cause for dismissal.

*Applicant Signature:

*Date:

Fields with (*) are compulsory.

An equal opportunity employer, Genesis LLC does not discriminate in hiring or terms and conditions of employment because of an individual’s race, color, religion, gender, national origin, citizenship, age, disability, sexual orientation or marital status. Genesis LLC only hires individuals authorized for employment in the United States

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Employment Application