EMPLOYMENT APPLICATION
R. 11/15
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 individuals 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.
PERSONAL DATA
FULL NAME: ______________________________________________________________________________________________________________
Last First Middle Preferred Name (Optional)
CURRENT CONTACT: _____________________________________________________________________________________________________
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 any division of 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 any division of 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: ______________________________ Date available to start work*: __________________
Total hours available per week*: _________
Part-time Full-time
Regular Temporary
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.
S
M
T
W
Th
F
S
AM
PM
Referred by:
EMPLOYMENT APPLICATION
EMPLOYMENT APPLICATION
R. 11/15
www.tjx.com
EXPERIENCE
Please give accurate and complete information. Start with present or most recent employer, including self-employment, part-
time 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.
Employer
Work Performed
Address (Street, City, State)
Telephone Number(s)
( )
Job Title
Supervisor
Reason for Leaving
Dates Employed
From:
To:
Hourly Rate / Salary
Starting:
Final:
Employer
Work Performed
Address (Street, City, State)
Telephone Number(s)
( )
Job Title
Supervisor
Reason for Leaving
Dates Employed
From:
To:
Hourly Rate / Salary
Starting:
Final:
Employer
Work Performed
Address (Street, City, State)
Telephone Number(s)
( )
Job Title
Supervisor
Reason for Leaving
Dates Employed
From:
To:
Hourly Rate / Salary
Starting:
Final:
Employer
Work Performed
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: ____________________________________________________________________________________
_______________________________________________________________________________________________________
EMPLOYMENT APPLICATION
R. 11/15
www.tjx.com
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:
Name of School
Location (City, State)
Field of
Study
Degree
Received?
HIGH
SCHOOL
High School
Diploma or GED
Yes / No
COLLEGE
Yes / No
COLLEGE
Yes / No
Please check all that apply:
List any other special training, experience, skills, or qualifications relevant to the position for which you are applying:
_____________________________________________________________________________________________________
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? ___________________________________
______________________________________________________________________________________________________
EDUCATION
SKILLS AND QUALIFICATIONS
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
PROFESSIONAL REFERENCES
EMPLOYMENT APPLICATION
R. 11/15
www.tjx.com
READ CAREFULLY BEFORE SIGNING AS THESE ITEMS REPRESENT SIGNIFICANT MATTERS IN CONNECTION WITH YOUR
APPLICATION
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:
_________________________ _____________________________________________________________________
Reviewed by: ______________________________________________________
Signature
______________________________________________________
Name Date Time
Interview scheduled for: _____________________ ____________________
Date Time
SIGNATURE
MANAGEMENT ONLY
APPLICANT FORMS
WOTC Applicant Notification
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