Referred by:
Please print clearly in ink. The TJX Companies, Inc. considers all applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, marital or military status, or based on any individual’s status in any group or class protected by applicable federal, state, or local law. TJX also provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require an accommodation in the application process, please advise Management.
PERSONAL DATA
FULL NAME:
Last
First
Middle
CURRENT ADDRESS:
Street and Number
City
State
Zip Code
State
Zip Code
PREVIOUS ADDRESS:
Street and Number
City
Home Telephone Number
Cell Phone Number
(Optional)
E-Mail Address
(Optional)
Preferred Name/Nickname
(Optional)
Have you ever applied to HomeGoods, Marshalls, T.J. Maxx or The TJX Companies, Inc.? q Yes q No If yes, provide dates:
Have you ever worked for HomeGoods, Marshalls, T.J. Maxx or The TJX Companies, Inc.? q Yes q No If yes, provide dates:
Location:
Do you know anyone who works for any of the TJX divisions? q Yes q No Name:
How were you introduced to us? q Other
q Employee Referral q College/University
q Newspaper ad q Dept. of Employment
If hired, and you are under 18, can you furnish a work permit?
q Yes
q No
q Walk in q Internet q Community Organization
q 18 or over
If hired, can you provide proof of identify and authorization to work in the United States?
q Yes
q No
EMPLOYMENT DESIRED
Position you are applying for:
S
Date Available for work*:
T
W
T
F
S
To
Total hours available per week*: q Part-time
What type of work are you looking for?
Are you willing to relocate?
M
From
q Yes
q No
If yes, where?
q Full-time
q Regular
q Temporary
Will you travel?
*Should your availability change during the course of your employment, it may impact your employment status based on business needs. While we may be able to accommodate your availability limitations upon hire, we do not guarantee that we will be able to support these limitations in the future. Should our business needs change, we may require an adjustment in your availability in order to maintain employment status.
TJXAPP Rev 1/11
EXPERIENCE
Please give accurate and complete information. Start with present or most recent employer, including self-employment, part-time work, military employment and any work performed on a volunteer basis. Account for your entire employment history, including significant gaps in employment. All information must be included, even if you are attaching a resume.
Employer
Work Performed
Address (Street, City, State)
Telephone Number(s)
(
)
Job Title
Supervisor
Reason for Leaving
Hourly Rate/Salary
Dates Employed
From:
Employer
To:
Starting:
Final:
Work Performed
Address (Street, City, State)
Telephone Number(s)
(
)
Job Title
Supervisor
Reason for Leaving
Hourly Rate/Salary
Dates Employed
From:
Employer
To:
Starting:
Final:
Work Performed
Address (Street, City, State)
Telephone Number(s)
(
)
Job Title
Supervisor
Reason for Leaving
Hourly Rate/Salary
Dates Employed
From:
Employer
To:
Starting:
Final:
Work Performed
Address (Street, City, State)
Telephone Number(s)
(
)
Job Title
Supervisor
Reason for Leaving
Hourly Rate/Salary
Dates Employed
From:
To:
Please attach an additional sheet if necessary.
Starting:
Final:
EDUCATION
Circle highest grade completed:
Elementary 6 7 8
High School 9 10 11 12
College 13 14 15 16 17 18 19
HIGH SCHOOL
Name of School
DIPLOMA OR GED