Personal Information

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* 1. St. Vincent de Paul Stores is an equal opportunity Employer

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* 2. Prior Address

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* 3. Are you Eligible to work in the United States?

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* 4. Are you at least 18 years of age?

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* 5. What date are you available for employment?

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* 6. Have you applied to St. Vincent de Paul before?

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* 7. Are you presently on lay off or absence from another employer?

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* 8. Have you ever been convicted of any law violation or have you forfeited collateral (ie bond)?

(An affirmative answer will not automatically disqualify you from being considered as a candidate for employment.)

You may omit: 1) Traffic violations in which a fine of $100 or less was imposed (unless the violation involved alcohol or drugs) and 2) Any offense committed before your eighteenth (18th) birthday which was finally adjudicated in a juvenile court or under a youth offender law.

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* 9. Do you have any agreements with another employer that would affect your employment here?

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* 10. Which position are you applying for? Please check all that apply.

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* 11. What type of employment are you seeking? (check all that apply)

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* 12. St. Vincent de Paul operates seven thrift stores throughout the Cincinnati area. Please check each store location at which you would be interested in working:

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* 13. Please indicate the times you are available to work?

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* 14. Please list any activities that may conflict with the information provided above:

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* 15. Which shift do you prefer?

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* 16. Are you currently attending school?

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* 17. Most Recent Employer

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* 18. Second most recent employer

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* 19. Third most recent employer

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* 20. High School (if you attended more than one, list the last school attended)

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* 21. College (if you attended more than one, list the last school attended)

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* 22. Other job-related schooling, license, certification, etc

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* 23. Reference 1

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* 24. Reference 2

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* 25. Reference 3

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* 26. What is your minimum salary requirement?

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* 27. What past work experience do you feel is most applicable to this position?

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* 28. As an applicant for employment, I understand the following:


• This application will remain on active file for sixty (60) days. If I am hired within this period, this form will be transferred to my individual personnel file.
• If I am not hired within sixty (60) days, this application is no longer active and I will need to reapply for employment if I wish to be considered for a position after that time.
• Any misrepresentation or falsification of information or significant omissions will be cause for rejection of my application or for subsequent discipline up to and including my dismissal from employment if discovered at a later date.
• After an offer of employment has been extended, I may be required to submit to a physical examination. This may include a drug screen, in order to determine my physical ability to perform my job duties with or without accommodation.
• My employment may be contingent upon the result of this examination and drug screen. If the results of the physical examination indicate that I cannot perform the job for which an offer has been extended and/or if the drug screen results are positive for substance abuse, this will be grounds for disqualifying me or terminating my offer of employment.
• If my application for employment is accepted, the effective date of employment shall be the time I actually begin to work. If I am employed, I agree to comply with and be bound to the safety and health rules and regulations, and the standards of conduct of my employer.
• My employment is not guaranteed for any term, and my employment may be terminated by my employer or myself at any time and for any reason. No management official is authorized to make any oral assurance or promise of continued employment.
• All information (including information on any accompanying resume) is subject to verification.



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• I authorize you to contact and I authorize any present or former employer, education institution, law enforcement agency, financial institution, or other persons having personal knowledge about me to furnish any and all information in their possession regarding me, in connection with any decision concerning my employment. Further, I hereby release from liability and hold harmless all persons and corporations supplying this information. A photocopy of this authorization is as valid as the original.

Do you agree with the above statement of application?

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