Name: Last    First    Middle Name 

Address:   

City    State    Zip Code

Phone Number Type  Select One Home Work Cell        

Alternative Phone Select One Home Work Cell    

E-mail Address

Positions applied for 

Desired Salary $ 

Work Availability  Monday Tuesday Wednesday Thursday Friday Saturday Sunday Weekdays Week Ends Will Discuss Open Flex On Call Shift Times  Select One Open Morining Afternoon Evening Flex

Desired Store work Location  Select One Santa Fe-Cerrillos & Lujan 505.424.9198 Abuquerque-Lomas & Monroe 505.255.7463 Abuquerque-Eubank and Candellaria 505.292.7525

Best Time to contact you is 

If you are under 18 years of age, can you provide the required proof of your eligibility to work?  Select One Yes No

Have you ever been employed by Mr. Tux before  Select One Yes No if yes, where at

Do you have any friends or relatives employed with Mr. Tux   Select One Yes No if yes, where at

Are you currently prevented from lawfully becoming employed in the United States, because of a Visa or Immigration Status.  Select One Yes No   (Proof of citizenship, or immigration status will be required upon employment.)

Are you currently on "lay off " and subject to recall ?  Select One Yes No

Do you have a means of reliable transportation?  Select One Yes No

Can you travel if the job requires it?  Select One Yes No if yes what percentage of the time? Select One less than 10% 10 to 20% 20 to 30% 30 to 40% 40 to 50% 50 to 60% 60 to 70% 70 plus %

Are you a current, or former member of the United  States Armed Forces?  Select One Yes No

Are you currently, a student or working toward a diploma, or degree?  Select One Yes No

Have you ever been convicted of a crime  Select One Yes No if yes what offence?

Are you currently employed ? Select One Yes No

May we contact you present Employer? Select One Yes No

Date you are available to start work ?  

Work Experience:

Please start with you present job. Include any military service assignments and volunteer actives. Please exclude organizations or activities which indicate race, color, religion, gender, national origin, sexual orientation, disabilities and/or any other protected status. Mr. Tux is an equal opportunity employer.

Employer 1  

                Start Date  End Date  Start Pay End Pay 

                Starting Job Title  Ending Job Title 

                Supervisor  For How Long 

                Telephone Number  May We Contact   Select One Yes NO

                Address of Employer  City  State 

                Job Duties & Responsibilities:

                Reason for Leaving: 

                 Are you eligible for re-hire?     Select One Yes NO N/A  

Employer 2 

                Start Date End Date Start Pay End Pay

                Starting Job Title Ending Job Title

                Supervisor For How Long

                Telephone Number May We Contact   Select One Yes NO

                Address of Employer City State

                Job Duties & Responsibilities:

                Reason for Leaving:

                 Are you eligible for re-hire?     Select One Yes NO N/A  

Employer 3 

                Start Date End Date Start Pay End Pay

                Starting Job Title Ending Job Title

                Supervisor For How Long

                Telephone Number May We Contact   Select One Yes NO

                Address of Employer City State

                Job Duties & Responsibilities:

                Reason for Leaving:

                 Are you eligible for re-hire?     Select One Yes NO N/A

Employer 4

                Start Date End Date Start Pay End Pay

                Starting Job Title Ending Job Title

                Supervisor For How Long

                Telephone Number May We Contact   Select One Yes NO

                Address of Employer City State

                Job Duties & Responsibilities:

                Reason for Leaving:

                 Are you eligible for re-hire?     Select One N/A Yes NO  

Employer 5

                Start Date End Date Start Pay End Pay

                Starting Job Title Ending Job Title

                Supervisor For How Long

                Telephone Number May We Contact   Select One Yes NO

                Address of Employer City State

                Job Duties & Responsibilities:

                Reason for Leaving:

                 Are you eligible for re-hire?     Select One Yes NO N/A  

Please describe any specialized training, apprenticeships, skills, job related training you have received (both in or out of the military), and any professional trade, business or civic offices held.

Specialized Skills:

                PC/Mac Select One Yes No Excel  Select One Yes No Word  Select One Yes No Access Select One Yes No  

                MS Publisher Select One Yes No   Basic Cash Registers Select One Yes No Blind Hem Machines Select One Yes No

                Tailoring Select One Yes No   Sales Select One Yes No Lead Generation Select One Yes No   Outside Sales Select One Yes No

                Advertising / Marketing Select One Yes No   Spanish Language Select One Yes No

                Other Language please list:

                   Please state any other information you feel would be helpful, in consideration of 

                                 your  application?

Professional Job related References:

    (( If you have none, or this is your first job, these may be Teachers, Coaches, Pastors, Priests, or any other non-family member or close friend whom may provide this information. (If you are using a Pastor, Priest, Rabi or any other Religious affiliated individual please do not use their title.))

Name First & Last 

            Phone Number: Best Time To Call 

            How Long Have they Known You?

Name First & Last 

            Phone Number: Best Time To Call 

            How Long Have they Known You?

Name First & Last 

            Phone Number: Best Time To Call 

            How Long Have they Known You?

Education:

High School Address City

                       State Phone Years Completed Select One 1 Freshman 4 Senior 2 Sophmore 3 Junior Graduated Graduated With Honors General Education Diploma

College   Address City

                       State Phone Years Completed Select One 1 Freshman 4 Senior 2 Sophmore 3 Junior Graduated Graduated With Honors

                        Major Major

                Minor Minor

Vocational/Trade  Address City

                       State Phone Years Completed Select One 1 Year 2 Year Graduated Graduated With Honors

                        Major Major

                Minor Minor

Graduate   Address City

                       State Phone Years Completed Select One Still Attending Graduated Graduated With Honors

                        Major Major

                Minor Minor

Applicants Statement:

I Certify answers given herein are true and complete. I authorize Mr. Tux to investigate all statements contained in this application for employment as necessary in arriving at employment decisions. I also authorize all prior jobs and references to release information pertaining to their knowledge of me, and or my past work performance with them including, but not limited to dates of employment, pay, job duties, eligibility for rehire, job performance. I also agree that no person or entities shall be held liable for the release of this information to Mr. Tux, and I further understand that this information may or may not have a direct bearing to any possible job offer that may or may not come from Mr. Tux. This application for employment shall be considered active for a period of 45 days. Any applicant wishing to be considered for employment beyond this time period should reapply, or call to see if this application is still on file and therefore no need to reapply. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature which means that the Employee may resign at any time, and that Mr. Tux may discharge the Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such a change is specifically acknowledged in writing by an executive of Mr. Tux. In the event of employment, I understand that false or misleading information given in my application or interview may result in discharge. I also agree that neither Mr. Tux, nor any representative of theirs will be held liable for this discharge wither professionally or personally. I also understand that I am required to abide by all rules and regulations of Mr. Tux. By the use of the acceptance box below I agree to be bound by all the above terms and conditions and hereby authorize Mr. Tux, to investigate all the above statements for their accuracy and validity.

  Select One Yes, I accept the above terms and conditions as stated in the Applicant's Statement. No, I do not accept the above terms and conditions as stated in the Applicant's Statement.I aslo understand this application may as a result not be reveiw for possible employement, and will not fulfill any government obligations toward seeking gainful employement if I am so required.