Employment Application

Basic Information

Which store(s) are you applying for:

Are you legally eligible for employment in this country?*

Are you 16 years of age or older?*

If you are under 18, can you furnish a work permit?*

Are you able to lift up to 50 pounds frequently during a four to six-hour period?*

Have you previously been employed at Mounds?*

Type(s) of employment desired*

Have you been convicted of a felony or misdemeanor?* Exclude sealed or expunged convictions.
(Answering yes to this question does not necessarily bar you from employment.)

Extended Information

Are there any animals or insects that bother or scare you?

Have you worked as part of a team in the past?

Have you been promoted in previous jobs?

Do you have any special skills or qualifications that may qualify you for work with Mounds?

We have a dress code at Mounds. Will this be a problem for you?

Are you willing to travel as needed (e.g. conferences, trade shows, training)?

Are you able to attend LP gas training?

No Prior Experience?

If you have no prior job experience, please indicate below.

Employment Information

List your last four most recent employers, assignments, and/or volunteer activities, including military experience.

Educational Background

Military Experience

Have you served in the military?

Availability

Please list the hours you are available to work each day. Please enter “unavailable” for any days you are unavailable to work.

Terms of Application for Employment

Please read the following statement before completing this application.

It is understood and agreed upon that any material misrepresentation or omission by me in this application will be sufficient cause for cancellation of this application and/or separation from Mounds' service if I have been employed.

I give Mounds the right to investigate all references and to secure additional information about me, if job related. I release from liability Mounds and its representative for seeking such information and all other persons, corporations, or organizations for furnishing such information.

Mounds is an Equal Opportunity Employer. Mounds does not discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant's 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 Mounds and still wish to be considered for employment, it will be necessary to complete a new application.

I understand that just as I am free to resign at any time, Mounds reserves the right to terminate my employment at any time, with or without cause and with or without prior notice. I understand that no representative of Mounds has the authority to make any assurances to the contrary.

Electronic Signature

Please type your full name. This will serve as your electronic signature