Please note: all fields marked with a * on this form are mandatory. Failure to complete mandatory fields may prohibit your application from being submitted correctly.

Please only click on the "Submit" button one time and wait for the thank you page.  This could take up to 5 minutes because of the amount of information being submitted.
Employment Application
Personal Information:
*First Name:
*Last Name:
  Gender:
*Email Type:
 Personal  Business
*Email:
Address Information:
*Address Type:
 Business Address  Seasonal Residence  Home Address
*Street 1:
  Street 2:
*City:
*State / Province:
*Zip / Postal Code:
 
*Country (Addr):
Phone Number Information:
*Phone Number Type(s):
 Primary Business Number  Mobile Number  Residential Number
*Area Code:
*Phone Number:
  Extension:
*Country (Phone):
Addt'l Address & Phone:
  Cell Phone Number:
  Secondary Address:
  Secondary City:
  Secondary State/Prov:
  Secondary Zip/Postal Code:
  Secondary Country:
Employment Application:
*1st Position Desired:
*2nd Position Desired:
*3rd Position Desired:
  Emergency Contact Name:
  Emergency Contact Address:
*I have read the physical requirements for each of these positions
and am able to perform them:
 Yes  No
*Wage Expection:
*Date you can start work:
*Last date you can work:
  How did you hear about Maddens:
  If other, please list source:
*Availability:
*Have you ever worked for Madden's:
 Yes  No
  If yes, give dates and position held:
*Do you have a clean driving record:
 Yes  No
  If no, please explain:
*Drivers License Number:
*State Issued:
*Have you ever been convicted of a felony or any crime involving
violence, sex, children, theft or cash handling:
 Yes  No
  If yes, explain:
  Skills:
 MS Word  MS Excel
  Typing: WPM:
  Property Management System (Specify):
  POS (Specify):
  Other:
  Other Skills, Experience, Abilities:
 Cash Register  EMT
 CPR  Lifeguard
 CDL  Audio/Visual
 Carpentry  Mechanical
*Are you authorized to work in the US:
 Yes  No
*Are you at least 18 years old:
 Yes  No
*Are you willing to work weekends and evenings:
 Yes  No
*Why are you interested in working at Madden's:
*High School Name:
*High School Location:
  High School years completed:
*Did you graduate from High School:
 Yes  No
  College/University/Technical School Name:
  College Location:
  College years completed:
  College subject studied:
  Did you graduate:
 Yes  No
  Degree:
*Employment History: Company Name (most recent first):
  Job Title & Duties:
  Wage:
  Supervisor:
  Reason for leaving:
  2nd Company Name:
  2nd Company Address:
  Job title and duties:
  2nd Company's Wage:
  Supervisors name:
  Your reason for leaving:
  3rd Company Name:
  3rd Company Address:
  Your supervisors name:
  The reason for leaving:
*1st Reference Name:
*1st Reference Relationship:
*1st Reference Phone Number:
*2nd Reference Name:
*2nd Reference Relationship:
*2nd Reference Phone Number:
*3rd Reference Name:
*3rd Reference Relationship:
*3rd Reference Phone Number:
*I certify that all information is true and complete. I understand that any
misleading or incorrect statements render this application void and may be
cause for termination. I hereby authorize investigation of all statements contained
in this application and inquiries of my driving record, employment history, educational
background or criminal conviction history as may be necessary and release from any
liability both Madden's and those who supply reference information.
I understand that employment at Madden's is at will and, if hired, I am free to resign
at any time, with or without cause. Similarly, Madden's may terminate the employment
relationship at will at any time, with or without notice or cause, as long as there
is no violation of applicable federal or state laws. I understand that neither this document,
nor any statement or actionby Madden's should be understood to create an employment
contract or contractual obligations of any kind between Madden's and any of its
employees. I hereby authorize Madden's to deduct from my final paycheck any debts
I may owe (including rent, uniform charges or amounts due for lost or damaged items for
which I may be accountable). I understand adhering to grooming policies is a condition of
employment and, if hired, I agree to this condition. I agree to fully comply with all policies
concerning alcohol, drugs, safety and loss control and further consent to such searches,
inspections, examinations and tests as may be required:
 Yes  No
 
*By submitting this form, you are agreeing to receive future information from this organization and our partners.