Employment Application For which location are you applying? * Mosby North Kansas City South Liberty Excelsior Springs North Oak Chillicothe What position are you applying for? * Sales Clerk Office Help Assistant Manager Manager Maintenance Are you at least 21 years old? * Yes No Email * Your Name * Your Address Your City Your State Your Zip Phone Date you can start Desired starting pay Days available to work How many hours/week do you want What hours/shifts are you available Willing to work nights Yes No Willing to work weekends Yes No Willing to work overtime Yes No Willing to work holidays Yes No Did you complete High School/GED Yes No If not, highest grade completed Name of other schools completed Degrees obtained Present or last employer Address City, State, Zip Start Date - End Date Starting and Ending Salary Supervisor's Name Position and description of work Reason for leaving Employment prior to present or last Employment 2 Address Employment 2 City, State, Zip Employment 2 Start Date - End Date Starting and Ending Salary Supervisor's Name Position and description of work Reasons for leaving Have you ever been convicted of a crime besides a motor traffic violation? Yes No If so, when? If so, please list details reCAPTCHA Submit If you are human, leave this field blank.