Online EMPLOYMENT APPLICATION

Cash Express reviews applications for employment each day. Please fill out all information below to begin processing your application for employment. You will need to select the address of the location you wish to work, and your application will be forwarded to the appropriate manager for that location.

Equal access to programs, services, and employment is available to all persons. Those applicants requiring reasonable accommodation to the application and/or interview process should notify a representative of the Human Resources Department.

What store would you prefer to work?

If you would like to apply for multiple locations, please select up to two additional Cash Express stores below:

Secondary Location:

Secondary Location:

Position Applying For: Date:

Full Time/Part Time:

Referral Source

Name:
Phone (Format: 1234567890):
Cell (Format: 1234567890):
Address:
City: State: ZIP:
Best time to call:
SSN:

May we contact you at work? Yes
If yes, Work Number:

Driver's License Number: State:
Date available for work:

Are you currently employed?
Will you work overtime if required?
Do you own or have access to a reliable vehicle?
Will you relocate if job requires?
Have you ever been bonded?
Have you been convicted of a crime in the last 10 (ten) years?

Educational Background

List Schools Attended:

Elementary:
High School: Graduated? Yes
College: Graduated? Yes
Major Study: Degree:
Specialized Training

What Special training do you have that will help you most in this job?

Employment History

Please list your last 10 years of employment (Beginning with the most recent)

Employer:
Phone Number:
Supervisor:
Phone Number:
Employment Dates: to
Salary:
May we contact for reference? Yes
Reason for leaving?

Job Responsibilities:

Employment History

Please list your last 10 years of employment (Beginning with the most recent)

Employer:
Phone Number:
Supervisor:
Phone Number:
Employment Dates: to
Salary:
May we contact for reference? Yes
Reason for leaving?

Job Responsibilities:

Employment History

Please list your last 10 years of employment (Beginning with the most recent)

Employer:
Phone Number:
Supervisor:
Phone Number:
Employment Dates: to
Salary:
May we contact for reference? Yes
Reason for leaving?

Job Responsibilities:

Employment History

Please list your last 10 years of employment (Beginning with the most recent)

Employer:
Phone Number:
Supervisor:
Phone Number:
Employment Dates: to
Salary:
May we contact for reference? Yes
Reason for leaving?

Job Responsibilities:

Employment History

Please list your last 10 years of employment (Beginning with the most recent)

Employer:
Phone Number:
Supervisor:
Phone Number:
Employment Dates: to
Salary:
May we contact for reference? Yes
Reason for leaving?

Job Responsibilities:

References

Please list 3 Professional References:

Reference #1 Name:
Business:
Phone Number:
Years Known:

Reference #2 Name:
Business:
Phone Number:
Years Known:

Reference #3 Name:
Business:
Phone Number:
Years Known:

 

Please list 3 Personal References (not relatives):

Reference #1 Name:
Address:
Phone Number:
Years Known:

Reference #2 Name:
Address:
Phone Number:
Years Known:

Reference #3 Name:
Address:
Phone Number:
Years Known:

 

Please read and sign:

I understand that if I am employed, any misrepresentation or material omission made by me on this application will be sufficient cause for cancellation of the application or immediate discharge from the employer's service, whenever it is discovered. I give the employer the right to contact and obtain information from all references, employers, educational institutions, and to otherwise verify the accuracy of the information contained in this application. I hereby release from liability the employer and its representatives for seeking, gathering, and using such information and all other person, corporations, or organizations for furnishing such information. The employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by local, state, or federal law. This application is current for only 60 days. At the conclusion of this time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary to fill out a new application. If I am hired, I understand that I am free to resign at any time, with or without cause and without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without cause and without prior notice, except as may be required by law.


This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no representative of the employer other than an authorized officer, has the authority to make any assurances to the contrary. I further understand that any such assurances must be in writing and signed by an authorized officer. I understand it is this company's policy not to refuse to hire a qualified individual with a disability because of that person's need for a reasonable accommodation as required by the ADA. I also understand that if I am hired, I will be required to provide proof of identity and legal work authorization. I represent and warrant that I have read and fully understand the foregoing and seek employment under these conditions.

Sign Application By Typing Your Full Name:

Date:

By checking this box, you agree to use the electronic signautre as your personal signature. You agree the information on this application is to be correct.




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