Employment Application

Please fill out the information indicated below and click the SUBMIT button at the bottom. Your application will be sent to the proprietors of Heirlooms & Comforts.
Alternatively, you can open this pdf document and print and fill it out by hand. Please take your completed application to our shop or mail it in.

Thank you.

PERSONAL INFORMATION

Last Name	First Name	Middle Name
Present Address
City, ST ZIP	Phone
Perm. Address
City, ST ZIP
Related to any present employees? Yes No	If yes, name
Referred by
Emergency Contact:	Phone

EMPLOYMENT DESIRED

Position

Date you can start

Salary desired

Please mark your available hours:

	From	To
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

EDUCATION

	Name and location of school	Subjects Studied
Grammar School
High School
College
Trade Business or correspondence

PRIOR EMPLOYMENT

Have you ever applied to this company before? Yes No

If so, Where? Central Greenville

When?

FORMER EMPLOYERS (List below last three employers, starting with last one first)

Date Month & Year

Name and address of employer

Position

Salary

Reason for leaving

From

Name

Address

From

Name

Address

From

Name

Address

Heirlooms & Comforts

Employment Application

PERSONAL INFORMATION

EMPLOYMENT DESIRED

Please mark your available hours:

EDUCATION

PRIOR EMPLOYMENT

REFERENCES