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Shop Technician Application

Step 1 of 5: Personal Information
Personal Information

Personal Information

Please correct the omissions marked below to submit this form.
How did you hear about this position or our company?
At which store are you applying for a position?
Please choose...
Please indicate your desired work schedule:
Part Time
Full Time
First Name
Middle Name
Last Name
Phone Number
Email Address
Address
Address, Line 2
City
State
Please Choose...
Zip Code
If your application is considered favorably, on what date will you be available to work?
Do you need an accommodation to participate in the employment process?
Yes
No
Are you over the age of eighteen?
Yes
No
Have you previously worked at Shipton’s Big R?
Yes
No
Do you have any relatives employed by us?
Yes
No
Are you legally eligible for employment in the United States?
If hired, you are required to submit proof of eligibility to work in the U.S.A.
Yes
No
During the last seven years, have you ever been convicted of a felony?
Yes
No
*A “yes” answer will not automatically disqualify you from employment. Rather, such factors as age and date of conviction, seriousness and nature of the crime as it relates to specific occupational categories and rehabilitation will be considered.
List any job related experiances, skills, or qualifications for the job you are applying for:
Shipton’s Big R is an equal opportunity employer.
We do not discriminate on the basis of race, religion, color, sex, age, national origin, marital status, or disability.
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