Form Wmp - 24 Z - Application Form For Employment Walmart Stores
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1
2Application for Employment
Wal-Mart Stores, Inc.
Walmart is an Equal Opportunity Employer and is committed to excellence through diversity.
Please type or print. This application must be fully completed to be considered. Please complete each box, even if you attach a resume.
Position(s) that you are applying for
Position/Job title(s):
Part Time
Full Time
Temporary
Job number: (if applicable)
Rate of pay expected:
Date you can start work:
About you
Please print your name as it appears on your Social Security Card.
Last Name:
First Name:
Middle Name:
Social Security Number:
Street Address:
Telephone Number:
E-Mail Address:
City:
Alternate Number:
State:
Zip Code:
Are you 18 years of age or older?
Will you be able to show evidence of iden-
“Will you now or in the future require work
tity and work authorization within three
visa sponsorship?
days of your hire date?
Yes
No
Yes
No
Yes
No
If under 18, the applicant will be required to submit a
birth certifi cate or work certifi cate as required by state
or federal laws.
Have you ever been employed by Walmart or any of its subsidiaries? Yes
No
Location
Dates of Employment
Reason for Leaving
Name employed under (if your name is now diff erent)
List relatives employed by Walmart, their relationship to you, and where they work.
(If you live in California, do not answer this question.)
Education
(check the highest level or equivalent completed)
Elementary (grade level)
High School (grade level)
College/University/Technical (years)
8
(or less)
9
10
11
12
1
2
3
4
Are you currently a student?
Name of the college, university or technical school attended/attending:
Yes
No
Availability
Days
Evenings
Overnights
Saturdays
Sundays
To help us consider you for a job that matches your availability, tell us the earliest time and latest time that you can work each day.
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Earliest Time
Latest Time
Wal-Mart Stores, Inc. will provide a reasonable accommodation during the application
Rev. June 2010
WMP - 24 Z
and/or hiring process for individuals with disabilities. Please advise us if you need
[9951356]
assistance with the application and/or hiring process to accommodate a disability.
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Parent category: Business