WalMart Application for Employment - Free Download
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WalMart Application for Employment
WalMart Application for Employment
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/Job title(s): Part Time Full Time Temporary
Job number: (if applicable) Rate of pay expected: Date you can start work:
Please print your name as it appears on your Social Security Card.
Last Name: First Name: Middle Name:
Social Security Number:
E-Mail Address:
Street Address:
City:
State: Zip Code:
Telephone Number:
Alternate Number:
Are you 18 years of age or older
Yes No
If under 18, the applicant will be required to submit a
birth certi cate or work certi cate as required by state
or federal laws.
Will you be able to show evidence of iden-
tity and work authorization within three
days of your hire date
Yes No
Will you now or in the future require work
visa sponsorship
Yes No
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 di erent)
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 da
y.
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Earliest Time
Latest Time
List relatives employed by Walmart, their relationship to you, and where they work.
(If you live in California, do not answer this question.)
WMP - 24 Z
[9951356]
Wal-Mart Stores, Inc. will provide a reasonable accommodation during the application
and/or hiring process for individuals with disabilities. Please advise us if you need
assistance with the application and/or hiring process to accommodate a disability.
Rev. June 2010
Position(s) that you are applying for
About you
Application for Employment
Wal-Mart Stores, Inc.
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