Employment Application Rivergate

Name*
First Last
Current Address*
Street Address Address Line 2 City State ZIP Code
How Did You Learn About Us:*
Home Telephone*
Alternate Telephone
Email
Drivers License Number*
Drivers License State*
Are you 16 years of age or older?*
- Yes
- No
Have you applied at ThriftSmart before?*
- Yes
- No
Have you ever worked for ThriftSmart before?*
- Yes
- No
If yes, why did you leave?
How did you hear about ThriftSmart employment opportunities?
If hired at ThriftSmart, you may be assigned to varied duties from time to time. Is there any work you will not or can not perform?*
- Yes
- No
Please explain:
If hired at ThriftSmart, can you furnish proof that you are eligible to work in the United States?*
- Yes
- No
If you are hired for a position with special driving or physical requirements, are you prepared to complete the required screenings, tests, and trainings?*
- Yes
- No
Have you ever been convicted of a crime? (Do not list minor traffic violations).*
- Yes
- No
If yes, please explain:

Most Recent Employer