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Personal Information

Date
Last Name
 First Name
 MI
Phone #(s)
 Email
Address
City
 State
 Zip

Employment Information

Position Applying for
Which Store Location?
Additional location (optional)
Additional location (optional)
Do you have a valid driver's license?
Which State?
Are you 18 years old or older?
Do you have a legal right to work in the United States?
(Proof will be required upon hire.)
List special job skills and/or qualifications: (50-word limit)
When can you begin work?
When are you available to work?
Will your work availability change?
Have you applied to work at Buffalo Exchange before?
If yes, please give dates and position(s):
Have you worked at Buffalo Exchange before?
If yes, please give dates and position(s):
Do you know anyone who works at Buffalo Exchange?  
If yes, who?
Have you shopped at Buffalo Exchange?  
How did you hear about this job?
List your hobbies or recreational activities.
YOU MAY OMIT ACTIVITIES THAT INDICATE ANY LEGALLY PROTECTED STATUS.

Education

High School
Name
 Location
Graduated?
College
Name
 Location
Area of Study/Degree
 Graduated?
Other
Name
 Location
Area of Study/Degree
 Completed?  
Are you currently enrolled in school?

Work Experience

The form below allows you to submit up to four of your previous jobs. You do not have to fill out all four jobs, but in any given job, please fill out completely.

Begin with your present or last job.
Job
Dates Employed from to Employment Type
   
Employer
 May we contact?
Address
City
 State
 Zip
Supervisor
 Phone
Job Title & Duties
Starting Pay Ending Pay
Reason for Leaving

THIS IS ONLY A DEMO. FORMS ARE NOT FUNCTIONAL BEYOND THIS POINT

INSTRUCTIONS

  • Please review each section to confirm it is complete and accurate.
  • Use the edit button at the end of each section to make changes.
  • Check the box at the end if you agree to the application statement.
  • Use the "submit application" button to send your completed application to Buffalo Exhcange.

*NOTE* Your application will not be sent until you click the "submit application" button below.
Date
Name ,
Phone #(s)
Email
Address
City
State
Zip
Position Applying for
FT/PT
Which Store Location?
Additional location (optional)
Additional location (optional)
Do you have a valid driver's license?
Which State?
Are you 18 years old or older?
Do you have a legal right to work in the United States? (Proof will be required upon hire.)
List special job skills and/or qualifications:
When can you begin work?
When are you available to work?
Will your work availability change?
Have you applied to work at Buffalo Exchange before?
If yes, please give dates and position(s):
Have you worked at Buffalo Exchange before?
If yes, please give dates and position(s):
Do you know anyone who works at Buffalo Exchange?
If yes, who?
Have you shopped at Buffalo Exchange?
List your hobbies or recreational activities.
edit info
Are you currently enrolled in school?

High School
Name
Location
Graduated?

College
Name
Location
Area of Study/Degree
Graduated?

Other
Name
Location
Area of Study/Degree
Completed?
edit education

Job

Dates Employed: from    to  
FT/PT 
Employer  May we contact? 
Address  
City  State  Zip 
Supervisor  Phone 
Job Title & Duties
Starting Pay  Ending Pay 
Reason for Leaving
edit work experience
Have you reviewed and do you understand the job description and requirements of the position for which you are applying?
Yes   No
I hereby certify that my answers to the questions on this application are true and correct and that no pertinent omissions or false representations of any kind whatsoever have been made. I also understand that if I am employed, any false, misleading or incorrect statements made herein or on any subsequent forms that I may complete or submit or during any interviews will result in my immediate dismissal.
 
If employed by Buffalo Exchange, I agree to abide by all policies and regulations of the company, I understand that drug and alcohol tests, when given in accordance with company policy, are a condition of employment and that refusal to take such said tests will be grounds for immediate discharge. I understand that, if employed by Buffalo Exchange, my employment is "at will", and that my employment is for no definite period and may be terminated by myself or Buffalo Exchange at any time for any reason or for no reason at all with or without prior notice.
 
I hereby authorize Buffalo Exchange, LTD. to investigate my employment history, my credit history, my educational credentials, my driving record, my qualifications, and any other pertinent information presented by me to Buffalo Exchange unless I have indicated otherwise by contacting any companies and/or individuals it deems appropriate; and I hereby give full consent for said individuals and companies to communicate any and all information necessary for the satisfaction of this investigation, and in doing so, waive my right to bring any cause of action against same for defamation, invasion of privacy, or any other reason of their compliance with this consent.
 I have read and I agree to the statement above.

NOTE: NO CONSIDERATION OF EMPLOYMENT WILL BE GIVEN TO ANY APPLICANT WHO DOES NOT AGREE TO THE STATEMENT ABOVE.

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