Just-A-Buck

If you are interested in employment at Just A Buck, please fill out the online form below to submit an application. You may also download an application form here and hand deliver it to your local Just A Buck store or mail it to: 563 Temple Hill Road, New Windsor, NY 12553.

Just A Buck Secure Online Employment Application Form:

Your Name

(Prefix)

(First Name)

(M.I.)

(Last Name)

Personal Information

Address

City / State / Zip
Home Phone
Cell Phone
Work Phone
E-Mail Address
Social Security #
18 Or Older?	Yes No
If You Are Under The Age Of 18, Whats Is Your Age?
U.S. Citizen?	Yes No
If not, Alien Registration No.

Employment Desired

Position
Store Location
Desired Start Date
Employed Now?	Yes No
Have you been employed by Just A Buck Before?	Yes No
If so, where/when/position?

Availability

Please supply the times you are available to work.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Education

Highest Grade Completed	6 7 8 9 10 11 12
College	1 2 3 4
High School Graduate	Yes No
GED Certificate	Yes No

Former Employers

Beginning with the most recent, please list below the last four jobs held (within the last ten years) and include your present employer, if employed. Include military and specifically describe various duties performed.
Company Name
Address

Dates Employed	to
Position Held
Type of Business
Salary(Starting/Last)
Supervisor Name/Title/Phone
Reason For Leaving

Describe in detail the work you did, equipment ordered, and skills employed

Company Name
Address

Dates Employed	to
Position Held
Type of Business
Salary(Starting/Last)
Supervisor Name/Title/Phone
Reason For Leaving

Describe in detail the work you did, equipment ordered, and skills employed

Company Name
Address

Dates Employed	to
Position Held
Type of Business
Salary(Starting/Last)
Supervisor Name/Title/Phone
Reason For Leaving

Describe in detail the work you did, equipment ordered, and skills employed

Company Name
Address

Dates Employed	to
Position Held
Type of Business
Salary(Starting/Last)
Supervisor Name/Title/Phone
Reason For Leaving

Describe in detail the work you did, equipment ordered, and skills employed

May we contact your present employer and previous employers?	Yes No
If not, explain

The facts set forth in this application for employment are true and complete; I understand that if employed, false statements on this application shall be considered sufficient cause for dismissal.

Do you agree with these terms?

Agree Disagree

Thanks again for spending time on site with Just-A-Buck.
Here's hoping the bucks start here!

Tel: 845-561-7411
Fax: 845-561-7433