Fillable Printable T.J.Maxx Application Form

T.J.Maxx Application Form

EMPLOYMENT APPLICATION

R. 10/15

www.tjx.com

Pleaseprintclearlyinink.TheTJXCompanies,Inc.considersallapplicantsforemploymentwithoutregardtorace,color,religion,gender, sexual orientation,

national origi n, age, dis ability, gender identity and expressi on, marital or military status, or based on any individual’s status i n any group or class protected by

applicable federal, state, or local law. TJX also provides reasonable accomm odations t o qualified i ndi viduals with disabi l iti es in accordance with the

Americans with Disabi lit i esAct and applicable state and local law. If you require an accommodation in the application process, please advise Management.

PERSONAL DATA

FULL NAME: ______________________________________________________________________________________________________________

Last FirstMiddle Preferred Name(Optional)

CURRENT CONTACT:_____________________________________________________________________________________________________

PhoneE mail Address (Optional)

CURRENT ADDRESS:__________________________________________________________________________

Street CityStateZip Code

PREVIOUS ADDRESS:_____________________________________________________________________________________________________

Street CityStateZip Code

Have you ever applied to HomeGoods, Marshalls, T.J. Maxx, Sierra Trading Post, or The TJX Companies, Inc.? Yes No

If yes, provide dates and locations: _________________________________________________________________________

Have you ever worked for HomeGoods, Marshalls, T.J. Maxx, Sierra Trading Post, or The TJX Companies, Inc.? YesNo

If yes, provide dates and locations: _________________________________________________________________________

Do you know anyone who works for any of the TJX divisions? Yes No

If yes, name(s) and location(s): _____________________________________________________________________________

How were you introduced to us?Employee Referral Newspaper Ad Walk In Internet College/University

Dept. of Employment Community Organization Other: ____________________

If hired, and you are under 18 years of age, can you furnish a work permit? Yes No

If hired, can you provide proof of identity and authorization to work in the United States? YesNo

Do you now, or will you in the future, require sponsorship to work at The TJX Companies, Inc.? Yes No

DESIRED EMPLOYMENT

Position you are applying for: ______________________________ Date available to start work*: __________________

Total hours available per week*: _________

Part-timeFull-time

Regular Temporary

Are you willing to relocate?YesNoWhere? ______________________ Are you willing to travel? Yes No

* 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.

Referred by:

EMPLOYMENT APPLICATION

R. 10/15

www.tjx.com

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

Dates Employed

From:

To:

Hourly Rate / Salary

Starting:

Final:

Employer

Work Performed

Address (Street, City, State)

Telephone Number(s)

( )

Job Title

Supervisor

Reason for Leaving

Dates Employed

From:

To:

Hourly Rate / Salary

Starting:

Final:

Employer

Work Performed

Address (Street, City, State)

Telephone Number(s)

( )

Job Title

Supervisor

Reason for Leaving

Dates Employed

From:

To:

Hourly Rate / Salary

Starting:

Final:

Employer

Work Performed

Address (Street, City, State)

Telephone Number(s)

( )

Job Title

Supervisor

Reason for Leaving

Dates Employed

From:

To:

Hourly Rate / Salary

Starting:

Final:

Please attach an additional sheet if necessary

SECURITY

Have you ever taken any merchandise, money, or property from an employer without permission? YesNo

If yes, provide details: ____________________________________________________________________________________

_______________________________________________________________________________________________________

EMPLOYMENT APPLICATION

R. 10/15

www.tjx.com

Circle highest grade completed: Elementary /Middle 6 7 8High School 9 10 11 12 College 13 14 15 16 17 18(+)

List all, whether or not degree was obtained:

Name of SchoolLocation (City, State)

Field of

Study

DegreeReceived?

HIGH

SCHOOL

High SchoolDiploma or GEDYes / No

COLLEGE

Yes / No

COLLEGE

Yes / No

Please check all that apply:

List any other special training, experience, skills, or qualifications relevant to the position for which you are applying:

_____________________________________________________________________________________________________

Please provide name, work relationship, email address (if available) and telephone number of three Supervisors/Managers or

other professional references that are not related to you:

Name Work RelationshipEmail AddressPhone Number

May we contact each of your references? Yes NoIf not, who and why? ___________________________________

______________________________________________________________________________________________________

EDUCATION

SKILLS AND QUALIFICATIONS

Bookkeeping

Calculator

Data Entry

Financial Reports

General Clerical

Payroll

Statistical Typing

Switchboard

Typing (speed _________)

Microsoft® Excel

Microsoft® Outlook

Microsoft® PowerPoint

Microsoft® Word

Cash Office

Cashier

Customer Service

Merchandiser

Sales Associate

Stock Room



Fork-Lift Operator

General Warehouse

Inventory Clerk

Maintenance

Packer

PROFESSIONAL REFERENCES

EMPLOYMENT APPLICATION

R. 10/15

www.tjx.com

READ CAREFULLY BEFORE SIGNING AS THESE ITEMS REPRESENT SIGNIFICANT MATTERS IN CONNECTION WITH YOUR

APPLICATION

It is unlawful in Massachusettsand Marylandto require or administer a lie detector test as a condition of employment or

continued employment.An employer who violates this law shall be subject to criminal penalties and civil liability.

I certify that the statements and information furnished by me in this application are true and correct. I understand that

omitted, false or misstated statements on this application are grounds for refusal to hire, or dismissal, at any time the

Company becomes aware of the omitted, falsified, or misstated information.

I understand that The TJX Companies, Inc. is not obligated to provide me with employment and that I am not obligated to

accept employment. I understand that nothing contained in this application, or conveyed during any interview that may be

granted, or during my employment, if hired, is intended to create a contract for continued employment with The TJX

Companies, Inc., except as required by applicable federal, state, and local law. In addition, if an employment relationship is

established, unless I am employed in Montana, I acknowledge that my employment and compensation can be terminated,

with or without cause, and with orwithout notice at any time, at the option of either the Company or myself, and that this

cannot be altered except by an express written agreement signed by myself and a designated officer of the Company. I further

understand and agree that no manager or other representative of the Company has the authority to make any verbal promises

or commitments to me with respect to any term, condition, or privilege of my employment including compensation. I further

understand that no policy, benefit, or procedure contained in any employee handbook creates a contract for continued

employment. I understand and agree that, if hired, I will be required to abide by all rules and regulations of The TJX

Companies, Inc. and that my wages, benefits and conditions of employment can be changed by the Company at any time in its

sole discretion.

While I understand that this application will be kept on file for a period of up to one year, I further understand that this

application will be considered active for a period not to exceed ninety (90) days. I understand that if I wish to be considered for

employment beyond this period, I should inquire as to whether or not applications are being accepted for the position for

which I am interested and, if so, submit a new application.

MY SIGNATURE CERTIFIES THAT I HAVE READ AND AGREE WITH THE ABOVE STATEMENTS

DATE OF APPLICATION:SIGNATURE OF APPLICANT:

_________________________ _____________________________________________________________________

Reviewed by:______________________________________________________

Signature

______________________________________________________

NameDateTime

Interview scheduled for: _____________________ ____________________

DateTime

SIGNATURE

MANAGEMENT ONLY

APPLICANT FORMS

WOTC Applicant Notification