QuickCash Employment Application

What Position are you applying for?
Which store are you applying for?

Personal Information

Full Name
Street Address
City
State
Zip
Telephone Number
Have you worked at Quick Cash before? Yes  No
If so, When? to
Can your present employer be contacted? Yes  No
Do you have reliable transportation? Yes  No
Were you referred by a Quick Cash Employee? Yes  No
If so, Whom?
Desired Starting Salary
per hour
per week
How many hours a week do you want to work?
What times are you available to work?
Are you willing to work
(check all that apply)		 Overtime
Weekends
 
For part-time applicants, please enter the shifts/hours you are available to work. Type in start time and stop time - be sure to include am or pm designation for each.
Example: 6am - 3pm:
  Mon Tue Wed Thu Fri Sat Sun
Morning
Mid Shift
Evening
Overnights

When could you begin work?
Are you at least 18 years old? Yes  No
 

Skills and Experience

Please list any special qualifications, training, education, skills, or experience
that you feel warrant consideration by the company.

 
Please list any business equipment operating abilities you have which
might be useful on the job for which you are applying.
 

Education

Did you graduate from High School or earn a GED? Yes  No
Name and location of college, university, business or trade school
Full or Part time? Full-time  Part-time
Major field of study
Degree conferred
Hours of Credit
 

Work Experience

Name of present or past employer
Type of business
Street Address
City
State
Dates of Employment to
Starting Salary
Leaving Salary
Job Title
Name of Supervisor
Type of Job
Explain reasons for changing or wanting a different job
If we contact this employer, would you expect them to say they would rehire you for a position you last held there? Yes  No
If no, please explain
Employer's phone number

Name of employer prior to job above
Type of business
Street Address
City
State
Dates of Employment to
Starting Salary
Leaving Salary
Job Title
Name of Supervisor
Type of Job
Explain reasons for changing or wanting a different job
If we contact this employer, would you expect them to say they would rehire you for a position you last held there? Yes  No
If no, please explain
Employer's phone number

Name of employer prior to job above
Type of business
Street Address
City
State
Dates of Employment to
Starting Salary
Leaving Salary
Job Title
Name of Supervisor
Type of Job
Explain reasons for changing or wanting a different job
If we contact this employer, would you expect them to say they would rehire you for a position you last held there? Yes  No
If no, please explain
Employer's phone number
 

Legal

Have you ever been convicted of or pled 'No Contest' to a crime involving theft, dishonesty, violence, drugs, or endangerment of persons or property, whether resulting in incarceration, probation, or a suspended or deferred sentence?* Yes
No
Plead No Contest
If Yes or No contest, date of conviction or plea ex (01/01/00)
Please explain
Conviction of a crime will not necessarily disqualify you from consideration for employment.

*Authorization

I certify that I have read and understand all parts of it and certify that I have truthfully and completely answered all questions. I understand that falsification of any of the information given herein or on any other employment form is grounds for immediate termination, regardless of when such falsifications may be discovered.

I authorize Quick Cash, Inc. and its representatives to investigate my education, employment experience, criminal conviction records, and all other aspects of my background relevant to my proposed employment, including all statements made by me in my application for employment. I release Quick Cash and its representatives, as well as any person to whom such inquiry is directed, from any liability arising directly or indirectly from any such investigators.

Further, I understand that employment will be contingent upon successfully passing a pre-employment drug-screening test (except where prohibited). I understand my employment with Quick Cash Corporation is for no definite length of time. I understand my employment may be terminated at any time with or without cause, at the option of either Quick Cash, Inc. or myself. I understand that no employee or representative of Quick Cash, Inc. has any authority to make any agreement which is contrary to the foregoing. If accepted for employment, I agree to comply with all company policies and procedures and with all rules and regulations made known at the time of employment or any other time thereafter, and to perform all duties assigned to me to the best of my ability.

Notice to Applicants and Employees Regarding Consumer Reports
A consumer report and/or an investigative consumer report including information concerning your character, employment history, general reputation, personal characteristics, criminal or police records, motor vehicle record, mode of living, and/or credit and indebtedness may be obtained for employment purposes at any time. An investigative consumer report is a consumer report which contains information obtained from interviews with your neighbors, friends or associates. Upon timely written request of the People Services Department of the Company, and within 5 days of the request, the nature and scope of any investigative consumer report obtained will be disclosed to you.

Before any adverse action is taken in whole or in part as a result of information contained in a consumer report or an investigative consumer report, you will be provided a copy of the report and a summary of your rights under the Fair Credit Reporting Act.

Yes  No
 

*Disclosure and Release

In connection with my application for employment with Quick Cash, I understand that consumer reports which may contain public record information may be requested. These reports may include the following types of information: names and dates of employment, reason for termination of employment, accidents, work experience, etc. I further understand that such reports may contain public record information concerning my driving record, credit, bankruptcy proceedings, criminal records, etc., from federal, state and other agencies which maintain such records. You have the right, upon written request, to receive a written description of the nature and scope of the investigation requested and a written summary of your rights under the Fair Credit Reporting Act.

I authorize, without reservation, any person or entity contacted by Quick Cash or its agent or agents to furnish the above-stated information, and I release any such person or entity from any liability for furnishing such information.

Yes    No