EMPLOYMENT APPLICATION
EMPLOYMENT APPLICATION www.tjx.com Please print clearly in ink. The TJX Companies, Inc. considers all applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, marital or military status, or based on any individual’s status in any group or class protected by applicable federal, state, or local law. TJX also provides reasonable accommodations to qualified individuals with disabilities in accordance with the
Americans with Disabilities Act and applicable state and local law. If you require an accommodation in the application process, please advise Management.

Referred by:

PERSONAL DATA

FULL NAME: ______________________________________________________________________________________________________________
Last

CURRENT CONTACT:

First

Middle

Preferred Name (Optional)

_____________________________________________________________________________________________________
Phone
Email Address (Optional)

CURRENT ADDRESS: __________________________________________________________________________
Street

City

State

Zip Code

PREVIOUS ADDRESS: _____________________________________________________________________________________________________
Street

City

State

Zip 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: ______________________________
Total hours available per week*: _________
 Part-time
 Full-time
 Regular
 Temporary

S

M

Date available to start work*: __________________
T

W

Th

F

S

AM
PM

Are you willing to relocate?  Yes  No Where? ______________________

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.
R. 10/15

EMPLOYMENT APPLICATION

EXPERIENCE

Please give accurate and complete information. Start with present or most recent employer, including self-employment, parttime 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. www.tjx.com Work Performed

Employer
Address (Street, City, State)
Telephone Number(s)
(
)
Job Title

Supervisor

Reason for Leaving
Dates Employed
From:
Employer

To:

Hourly Rate / Salary
Starting:
Work Performed

Final:

Hourly Rate / Salary
Starting:
Work Performed

Final:

Hourly Rate / Salary
Starting:
Work Performed

Final:

Address (Street, City, State)
Telephone Number(s)
(
)
Job Title

Supervisor

Reason for Leaving
Dates Employed
From:
Employer

To:

Address (Street, City, State)
Telephone Number(s)
(
)
Job Title

Supervisor

Reason for Leaving
Dates Employed
From:
Employer

To:

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: ____________________________________________________________________________________
_______________________________________________________________________________________________________
R. 10/15

EMPLOYMENT APPLICATION

EDUCATION

Circle highest grade completed: Elementary /Middle 6 7 8

High School 9 10 11 12

College 13 14 15 16 17 18(+)

List all, whether or not degree was obtained: www.tjx.com Location (City, State)

HIGH
SCHOOL

Field of
Study

Degree

Received?

High School

Name of School

Diploma or GED

Yes / No

COLLEGE

Yes / No

COLLEGE

Yes / No

SKILLS AND QUALIFICATIONS
Please check all that apply:
 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

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

PROFESSIONAL REFERENCES
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 Relationship

Email Address

Phone Number

1

2

3

May we contact each of your references?  Yes  No

If not, who and why? ___________________________________

______________________________________________________________________________________________________
R. 10/15

EMPLOYMENT APPLICATION

SIGNATURE

READ CAREFULLY BEFORE SIGNING AS THESE ITEMS REPRESENT SIGNIFICANT MATTERS IN CONNECTION WITH YOUR
APPLICATION
www.tjx.com

It is unlawful in Massachusetts and Maryland to 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 or without 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:

_________________________

_____________________________________________________________________

MANAGEMENT ONLY

Reviewed by: ______________________________________________________
Signature

______________________________________________________
Name

Date

Interview scheduled for: _____________________
Date

APPLICANT FORMS
 WOTC Applicant Notification

Time

____________________
Time

R. 10/15