With 8 Locations Across South Dakota
Rapid City, Sioux Falls, Yankton, Mitchell & Pierre

TMA EMPLOYMENT APPLICATION
 
Personal Information
    
E-mail Address: *
Name *
Social Security Number
Street Address *
City *
State *
Zip Code *
Phone Number *
Cell Phone
Emergency Contact
Relationship
Phone Number
Legal Information
  
Are you over the age of 18? If not, employment is subject to verification that you are of minimum legal age. *
Yes No
Can you provide legal documented proof of your eligibility for employment in the United States? *
(Drivers license & Social Security Card/Birth Certificate OR Immigration and Naturalization Service Documents)
Yes No
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status? *
Yes No
Have you ever been bonded? *
Yes No
Have you ever been convicted of a violation of the law other than a minor traffic violation? *
Yes No
If yes, date court and place where offense occurred.
Position/Work Information
    
Position applying for *
Available start date *
Store Location *
Employment Type *
What Days & Hours
Rate of Pay Expected
Do you have any reason to believe that you would be unable to meet this companys work schedule? * Yes No
If yes, please explain:
Have you applied for a job with us before? * Yes No
Have you ever worked for us before? * Yes No
How did you hear about the job opening? *
Education Information
  
High School *
Graduated *
Yes No
Highest Year Completed *
         
College
Graduated
Yes No
Currently Enrolled
Number of Years Completed
         
Vocational
Graduated
Yes No
Currently Enrolled
Number of Years Completed
Previous Employment
    
Previous Employer #1 *
Dates Employed *
Supervisor *
Phone *
Job Duties *
Reason for Leaving *
Rate of Pay *  
 
Previous Employer #2 *
Dates Employed *
Supervisor *
Phone *
Job Duties *
Reason for Leaving *
Rate of Pay *
 
Previous Employee #3
Dates Employed
Supervisor
Phone
Job Duties
Reason for Leaving
Rate of Pay
 
Please provide any additional information you feel will be helpful to us in considering your application:
Are you currently employed *
Yes No
If currently employed, may we contact your employer?
Yes No
If currently employed, why do you desire a change of employment?
Have you ever held a position of trust (handling money or confidential material?) *
Yes No
Have you ever served in the U.S. Armed Forces *
Yes No
References
Name & Relationship *
City, State *
Phone *
 
Name & Relationship *
City, State *
Phone *
 

I certify that the information given by me in this application is true in all respects, and I agree that if the information given is found to be false tcause for denial of employment or discharge. I authorize the use of any information in this application to verify my statements, and I authorize past employers, all references and any other persons to answer all questions asked concerning my ability, character, reputation and previous employment record. I release all such persons from any liability or damages on account of having furnished such information. *
 AGREE DISAGREE
* Required