Job Application

Job Application Form

Personal Info
Applicant Full Name
Job Title Applying For
Email Address
Street Address
City, State, Zip
Phone Number
Have you ever applied at Scrubs Etc. before?
Have you ever worked at Scrubs Etc. before?
Can present employer be contacted?
Do you have reliable transportation?
Which of our locations are you willing to work at:
View Store Locations
How many hours per week do you want to work?
Are you willing to work:
For part-time applicants, please enter the shifts/hours you are available to work. Write in the start time and stop time-be sure to include a.m. or p.m. designation for Each. For example: 6a.m. – 3p.m.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
When could you begin work?
Are you at least 16 years old?
Are you at least 18 years old?
Were you referred by a current Scrubs Etc. employee? If so, by whom?
Are you related to any past or current Scrubs Etc. employee? Who?
Education and Experience

Or you can describe your prior work experience below!

Please list any special qualifications, training, education, skills, or experience that you feel warrant consideration by the company. (Feel free to attach a resume’) List any business equipment operating abilities you have which might be useful on the job for which you are applying.
Have you ever been convicted of a crime or pled “No Contest” on anything involving theft, dishonesty, violence, drugs, or endangerment of persons or property, whether resulting in incarceration, probation, or a suspended or deferred sentence? If yes, or No Contest, include date of conviction and description. (Conviction of a crime will not necessarily disqualify you from consideration for employment.)
Highest elementary or high school grade completed:
Did you graduate from high school?
If you are attending, or have attended a college, university, business or trade school, please describe here: