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Application for Employment - We are an equal opportunity employer.

The field descriptions in MAROON text are required.
Do not press Enter until ready to send application.
First Name: Last Name:
Middle Name:
Present Address:
Address:
City: State:
Zip: Phone:
Permanent Address:
Address:
City: State:
Zip: Phone:
 
E-mail:
Desired Position:
Date you can start: Salary Desired:
Desired Location to work:
 
Have you ever applied at TC before? Yes No
Which Location? When?
 
Former Employers
Please list below your last 3 employers, starting with your present or most recent employer first.
Company: Address/City:
From (MM/YYYY): To (MM/YYYY):
Supervisor: Phone:
Wage:
Position:
Reason for Leaving:
 
Company: Address/City:
From (MM/YYYY): To (MM/YYYY):
Supervisor: Phone:
Wage:
Position:
Reason for Leaving:
 
Company: Address/City:
From (MM/YYYY): To (MM/YYYY):
Supervisor: Phone:
Wage:
Position:
Reason for Leaving:
 
Are you presently employed?: Yes No
If so, may we contact your present employer?: Yes No
If hired, when would you be available?:
 
Education
Name & Location of School Select Last Year Completed Major Course Diploma/Degree
High School
College/University
College/University
Business or Trade School
 
Personal Information
Are you at least 18 years of age?: Yes No
Activities/Interests:
Do you have any other skills you wish to mention?:
Have you ever been convicted of a crime (felony)?: Yes No
If yes, give details:
(Convictions are not automatic bar to employment)
 
Personal References
Please list below 3 persons not related to you, whom you have known at least one year.
1) Name of Reference: 2) Name of Reference:
Occupation: Occupation:
Address: Address:
City/State/Zip: City/State/Zip:
Phone: Phone:
Relationship: Relationship:
How long known: How long known:
 
3) Name of Reference:
Occupation:
Address:
City/State/Zip:
Phone:
Relationship:
How long known:
 
How Were You Referred To This Job:
 
Please read carefully before submitting your application
If you are hired by Tobacco Connection, you will be required to attest to your identity and employment eligibility, and to present documents confirming your identity and employment eligibility. You cannot be hired if you cannot comply with these requirements.
Authorization
I certify that the facts contained in this application (and accompanying resume, if any) are true and complete to the best of my knowledge.
I understand that any false statement, omission, or misrepresentation on this application is sufficient cause for refusal to hire, or dismissal if I have been employed, no matter when discovered by Tobacco Connection.
I understand that any employment is conditioned on a background check. I authorize Tobacco Connection to thoroughly investigate all statements contained in my application or resume, and I authorize my former employers and references to disclose information regarding my former employment, character and general reputation to Tobacco Connection, without giving me prior notice of such disclosure. In addition, I release Tobacco Connection, any former employers and all references listed above from any and all claims, demands or liabilities arising out of or related to such investigation or disclosure.
I understand and agree that nothing contained in this application, or conveyed during any interview, is intended to create an employment contract. I further understand and agree that if I am hired, my employment will be "at will" and without fixed term, and may be terminated at any time, with or without cause and without prior notice, at the option of either myself or Tobacco Connection. No promises regarding employment have been made to me, and I understand that no such promise or guarantee is binding upon Tobacco Connection unless made in writing.
If I am offered employment I agree to submit to a medical examination and drug test before starting work if so required. If employed, I also agree to submit to a medical examination or drug test at any time deemed appropriate by Tobacco Connection and as permitted by law. I consent to such examinations and test, and I request that the examining doctor disclose to Tobacco Connection the results of the examination, which results shall remain confidential and segregated from my personnel file. I understand that my employment or continued employment, to the extent permitted by law, is contingent upon satisfactory medical examinations and drug test, and if I am hired a condition of my employment will be that I abide by the Company's Drug and Alcohol Policy.
I understand that filling out this form does not indicate that there is a position open and does not oblige Tobacco Connection to hire. If hired, I agree to abide by all Tobacco Connection work rules, policies and procedures. Tobacco Connection retains the right to revise it's policies or procedures, in whole or in part, at any time.

Check this box to certify that you have read and accept the above statement.

When You Gotta Habit