Employment Application

    Which location are you applying for?

    Last Name

    First Name

    Your Email

    Phone Number

    Street Address

    City

    State

    Position you are applying for?

    Where did you come across our job advertisement?

    How long do you see yourself working for The Couch Tomato, if hired?

    Do you have a car and your own auto insurance?

    Availability
    All ShiftsMon AMMon PMTue AMTue PMWed AMWed PMThur AMThur PMFri AMFri PMSat AMSat PMSun AMSun PM

    Ideal amount of hours worked each week

    Scheduling Conflicts? Do you currently have any other weekly scheduling commitments on a regular basis? Please explain.

    Use this space to tell us about yourself or your current situation in life, if you are willing to do so:

    Desired Salary/Wages

    Previous Employment

    Please list company, position, dates from-to, brief description of duties/title, reason for leaving.

    Education

    Tell us about your highest level of education received, and when that took place:

    Please upload your Resume - (PDF ONLY, If Applicable)


    e-Signature (My e-Signature is confirmation that all answers given herein are true and complete)