Equal access to programs, services, and employment is available to all persons. Those applicants requiring reasonable accommodation to the application and/or interview process should notify a representative of the Human Resources Department.
INSTANT CASH ADVANCE CORP.

Position(s) applied for: (Manager or CSR)

First Name: Last Name:
Street Address:
City: State: Zip Code:
Phone Number:
Email Address:
If under 18, and it is required, can you furnish a work permit:
If no, please explain:
Have you ever worked here before:
If yes, give dates and positions:
Are you legally eligible to work in this country:
Date available for work:
Please indicate hours you will be available to work for each day:
Monday: AM/PM to AM/PM
Tuesday: AM/PM to AM/PM
Wednesday: AM/PM to AM/PM
Thursday: AM/PM to AM/PM
Friday: AM/PM to AM/PM
Saturday: AM/PM to AM/PM
Are you able to meet the attendance requirements of this position
(40 hrs/week for full time, less for part-time):
Drivers License Number: State Issued:
Have you ever pled “guilty” or “no contest” to, or been convicted
of a crime: If yes, please provide dates and details:
Answering “yes” to these questions does not constitute an automatic bar to employment. Factors such as date of the offense, seriousness and nature of the violation, rehabilitation, and position applied for will be taken into account.

EMPLOYMENT HISTORY (Provide the following information of your past three (3) employers, assignments or volunteer activities, starting with the most recent)
From: To Employer:
Job Title: Supervisor:
Job Duties:
Pay Rate: Reason for Leaving:

From: To Employer:
Job Title: Supervisor:
Job Duties:
Pay Rate: Reason for Leaving:

From: To Employer:
Job Title: Supervisor:
Job Duties:
Pay Rate: Reason for Leaving:

SKILLS AND QUALIFICATIONS
Summarize any training skills, licenses, and or certificates that may qualify you as being able to perform job-related functions in the position in which you are applying.

EDUCATIONAL BACKGROUND

High School Years Completed:
Did you graduate: Course Study:

College: Years Completed:
Did you graduate: Course Study:

Other: Years Completed:
Did you graduate: Course Study:

REFERENCES

Name: Association:
Years Known: Telephone Number:

Name: Association:
Years Known: Telephone Number:

Name: Association:
Years Known: Telephone Number:

How did you hear about us:

Electronic Signature: