employment

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To apply at any of the 13 PUFF DISCOUNT TOBACCO locations you may fill out our online application below or print the form and return it to one of the locations!

    Today's Date
    Full Name
    Address I
    Address II
    City
    State
    Zip Code
    Phone Number
    Cell Number
    Date of Birth (optional)
    Driver's License Number (if applicable)
    If you are under 18 and we require a work permit, can you furnish one? YesNo
    Have you ever worked for this company? YesNo
    If yes, when?
    Are you a citizen of the United States? YesNo
    If not, are you legally allowed to work in the United States? YesNo
    Type of Employment Desired
    List Location Preferred
    Have you ever worked a cash register before? YesNo
    If yes, where?
    Have you ever worked lottery before? YesNo
    If yes, where?
    Puff Discount Tobacco pays by direct deposit, do you have a bank account? YesNo
    Upon hiring, do you have a problem having your checks direct deposited into you bank account? YesNo
    If yes, please explain
    Briefly list any special skills that may assist us if you should be hired.
    Education
    High School attended
    # of years completed
    Did you graduate? YesNo
    College/University attended
    # of years completed
    Did you graduate? YesNo
    In what field?
    Other Schooling/or Armed Forces # of years completed
    Did you complete your course of study? YesNo
    Previous Employement
    Name of Employer
    Phone Number
    Address
    Date you began with company?
    Date you ended with company?
    Supervisors Name
    May we contact this person? YesNo
    Previous Employment 2
    Name of Employer
    Phone Number
    Address
    Date you began with company?
    Date you ended with company?
    Supervisor's Name
    May we contact this person? YesNo
    References: Please list 3 persons not related to you that we may call as references.
    Reference 1
    Name
    Phone Number
    How do you know this person?
    Reference 2
    Name
    Phone Number
    How do you know this person?
    Reference 3
    Name
    Phone Number
    How do you know this person?
    Have you ever "pled guilty", "no contest" or been convicted of a crime? YesNo
    If yes, give dates & details

    I certify that my answers are true and complete to the best of my knowledge, I authorize you to make such investigations and inquiries of my personal, employment, educational, financial, or medical history and other related matters as may be necessary for an employment decision.

    I hereby release employers, schools or persons from all liability when responding to inquiries in connection with my application.

    In the event that I am employed, I understand that false or misleading information given in my application or interview may result in discharge.

    Do you agree to comply with the statement above? YesNo
    Type your initials for online signature of application