EMPLOYMENT APPLICATION
    PERSONAL INFORMATION
    » Name:
    » Email Address:
    » Social Security Number:
    » Current Address:
    » City:
    » State :    We only have locations in Maryland, Delaware, and Virginia
    »Zip :
    »Phone :
    » Have you ever worked at Goose Creek before?
    If so, when :
    »Have you ever applied at Goose Creek before?
    If so, when :
    »Can present employer be contacted?
    »Do you have reliable transportation:
    »Were you referred by a Goose Creek employee:
    If so, whom :
    »For what position are you applying?
    Desired Starting pay: $ per
    »How many hours per week do you want to work?
    »During what times are you available to work?
    »Are you willing to work Nights?      Yes  No
    Overtime?  Yes  No
    Weekends? Yes  No
    Holidays?    Yes  No  
    »When can you begin work?
    »Are you at least 18 years old?
    SKILLS AND EXPERIENCE
    Please list any special qualifications, training, education, skills, or experience that you feel warrant consideration by the company:
    Please list any business equipment operating abilities you have which might be useful on the job for which you are applying:
    EDUCATION
    »Highest elementary or high school grade completed?
    »Did you graduate from high school?
    Name and location of college, university, Business or trade school? 1.  
    2. 
    Full-time or Part-time 1.  
    2. 
    Major Field of study 1.  
    2. 
    Degrees Conferred? Title.  
    Title. 
    hours Credit 1.  
    2. 
    EMPLOYMENT HISTORY ( please list your last three employers. Begin with the most recent employer.
    1.» Company:
    » Phone Number:
    » Address:
    » City:
    » State:
    » Zip Code:
    » Dates of Employment:       From To
    » Salary:Beginning Ending
    » Job Title: Supervisor's name and Title
    Type of Job   
    Job Description and responsibilities:
    Were you Fired   
    Give reason for leaving:
    If we contacted this employer, would you expect them to say they would rehire you for the position you last held there?:
    Explain:
     
    2.» Company:
    » Phone Number:
    » Address:
    » City:
    » State:
    » Zip Code:
    » Dates of Employment:       From To
    » Salary:Beginning Ending
    » Job Title: Supervisor's name and Title
    Type of Job   
    Job Description and responsibilities:
    Were you Fired   
    Give reason for leaving:
    If we contacted this employer, would you expect them to say they would rehire you for the position you last held there?:
    Explain:
     
    3.» Company:
    » Phone Number:
    » Address:
    » City:
    » State:
    » Zip Code:
    » Dates of Employment:       From To
    » Salary:Beginning Ending
    » Job Title: Supervisor's name and Title
    Type of Job   
    Job Description and responsibilities:
    Were you Fired   
    Give reason for leaving:
    If we contacted this employer, would you expect them to say they would rehire you for the position you last held there?:
    Explain:
    LEGAL
    » Have you ever been convicted of a crime other than a routine traffic violation: Yes  |   No
    If Yes, date of Conviction:
    Please Explain:
     
    This Is CAPTCHA Image

    Write the characters in the image above into the field provided.
    By signing this application for employment, I certify that I have read and understand all parts of it and certify that I have truthfully and completely answered all questions. I understand that falsification of any of the information given herein or on any other employment form is grounds for immediate termination, regardless of when such falsification may be discovered.
    I authorize Goose Creek Food Stores and its representatives to investigate my education, employment experience, criminal conviction records, and all other aspects of my background relevant to my proposed employment, including all statements made by me in my application for employment. I understand Cato may contact the appropriate credit bureau to obtain an investigative consumer report providing information about my character; I understand I may request (in writing from the Personnel Department) a complete and accurate disclosure of information concerning the nature and scope of this report. I also release Goose Creek and its representatives, as well as any person to whom such inquiry is directed, from any liability arising directly or indirectly from such investigations.
    Further, I understand my employment may be terminated at any time, with or without cause, at the option of either Goose Creek or myself. I understand that no employee or representative of Goose Creek has any authority to make any agreement, which is contrary to the foregoing. If accepted for employment, I agree to comply with all company policies and procedures and with all rules and regulations made known at the time of employment or any other time thereafter, and to perform all duties assigned to me to the best of my ability.
    BY TYPING MY NAME IN THE BOX BELOW, I AM SIGNIFYING THAT MY TYPED NAME REPRESENTS MY ACTUAL SIGNATURE.
    » Signature:
    Type name as you would sign it
      » Date: