Neighborhood Cash

Employment Application

Fill out the information below, and a member of our management team will contact you.

Biographical Information

First Name

First Name is required.

Middle Name

Last Name

Last Name is required.

Email address

An email is required.

Email is not valid.

Phone number

Phone Number is required.

At least 18 years old? (Yes/No)

At least 18yo (Yes/No) is required.

SSN

Social Security Number is required.

Driver's License Num

Driver's License State

Current Address

Address

Address is required.

City

City is required.

State

State is required.

Zip

Zip is required.

How long at Current Address

How long at Current Address is required.

Previous Address

Previous City

Previous State

Previous Zip

Employment History

Latest / Current Position

Company Name

Address

Supervisor

Supervisor Phone

Position / Title

Dates of Employment (mm/yy - mm/yy)

Reason for Leaving

Previous Position

Company Name

Address

Supervisor

Supervisor Phone

Position / Title

Dates of Employment (mm/yy - mm/yy)

Reason for Leaving

Previous Position

Company Name

Address

Supervisor

Supervisor Phone

Position / Title

Dates of Employment (mm/yy - mm/yy)

Reason for Leaving

Education

High School

Name

Address

Num Years Completed

Diploma / Degree / Certificate

College / University / Trade School

Name

Address

Num Years Completed

Diploma / Degree / Certificate

College / University / Trade School

Name

Address

Num Years Completed

Diploma / Degree / Certificate

Military

Name

Address

Num Years Completed

Diploma / Degree / Certificate

Additional Skills

Please list any special skills or work experience that may be beneficial to the position.

Additional Skills

Legally authorized to work in the USA? (Yes/No)

Are you legally authorized to work in the United States? (Yes/No) is required.

Do you have dependable transportation? (Yes/No)

Do you have dependable transportation? (Yes/No) is required.

May we contact your current employer? (Yes/No)

If currently employed, may we contact your employer? (Yes/No) is required.

Applicant Disclosures

We are an Equal Opportunity Employer. The Company does not discriminate in hiring or terms of conditions of employment on the basis of any legally protected status included, but not limited to, race, color, creed, religion, sex, national origin, disability or veteran status. Federal law prohibits discrimination in employment. No question on this application is intended to be used for any improper purpose.

I hereby represent that the information set forth on this application is true and complete.
I hereby authorize the verification of any and all information set forth on this application, including the release of information by any educational institution and/or employer (present and former).
I affirm that I am not currently under any legal contract or obligation to any employer that would prohibit me from accepting a position. I understand that my employment application and any other company documents are not contracts of employment and that if hired, I may leave employment upon prior notice, and I may be terminated at any time and for any reason. I understand that the Company exercises its right to be an Employer at Will and I agree to be an Employee at Will.
I authorize the Company to verify my educational and credit records and perform a motor vehicle and/or criminal records check, as necessary.
I acknowledge that my typed signature below represents my legal and valid signature as applicable under any federal and state law.

Type your Full legal name as your Signature

Signature is required.