Groove Employment Application

Groove Employment Application

Please complete the form below to apply for a position with our team.
APPLICATION INFORMATION
Full Name *

First Name Middle Name Last Name
Current Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number *

Area Code Phone Number
Email Address *
Store Location Applying To *
Position Applying For
What Languages Do You Speak Fluently:

English Spanish
How Soon Can You Start? *

Month Day Year
Availability *
Desired Wage
Are You a Citizen of the United States? *

Yes No - but authorized to work in the U.S. No - not authorized to work in the U.S.
Have You Ever Worked For This Company? *
Have you ever been convicted of a felony? *
EDUCATION
High School
High School Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
High School From

Month Day Year
Date
High School To

Month Day Year
Date
Did You Graduate?
College
College Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
College From

Month Day Year
Date
College To

Month Day Year
Date
Did You Graduate?
REFERENCES
Reference #1 Name *

First Name Last Name
Relationship *
Company
Phone Number *

Area Code Phone Number
Reference #2 Name *

First Name Last Name
Relationship *
Company
Phone Number *

Area Code Phone Number
Reference #3 Name *

First Name Last Name
Relationship *
Company
Phone Number *

Area Code Phone Number
PREVIOUS EMPLOYMENT
Company *
Phone Number

Area Code Phone Number
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Supervisor *
Job Title *
Starting Salary *
Ending Salary *
Responsibilities *
Start Date *

Month Day Year
Date
End Date *

Month Day Year
Date
Reason for Leaving *
May we contact your previous supervisor for a reference? *

Yes No
Company *
Phone Number

Area Code Phone Number
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Supervisor *
Job Title *
Starting Salary *
Ending Salary *
Responsibilities *
Start Date *

Month Day Year
Date
End Date *

Month Day Year
Date
Reason for Leaving *
May we contact your previous supervisor for a reference? *

Yes No
Company *
Phone Number

Area Code Phone Number
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Supervisor *
Job Title *
Starting Salary *
Ending Salary *
Responsibilities *
Start Date *

Month Day Year
Date
End Date *

Month Day Year
Date
Reason for Leaving *
May we contact your previous supervisor for a reference? *

Yes No
MILITARY SERVICE
Branch
From

Month Day Year
Date
To

Month Day Year
Date
Discharge Rank
Discharge Type
If other than honorable, explain
DISCLAIMER AND SIGNATURE
I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
Signature *
Signature Date *

Month Day Year
Date
(Optional) Upload Resume
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Groove Employment Application

APPLICATION INFORMATION

EDUCATION

REFERENCES

PREVIOUS EMPLOYMENT

MILITARY SERVICE

DISCLAIMER AND SIGNATURE