Application for Employment
Today’s Date:
Referred by:
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.
PERSONAL DATA
FULL NAME:
Last
First
Middle
CURRENT ADDRESS:
Street and Number
City
State
Zip Code
PREVIOUS ADDRESS:
Street and Number
City
State
Zip Code
Preferred Name/Nickname
Home Telephone Number
Cell Phone Number
E-Mail Address
(Optional)
(Optional)
(Optional)
Have you ever applied to HomeGoods, Marshalls, T.J. Maxx or The TJX Companies, Inc.?
q
q
Yes
No
If yes, provide dates:
Have you ever worked for
HomeGoods, Marshalls, T.J. Maxx or The TJX Companies, Inc.?
q
q
Yes
No
If yes, provide dates:
Location:
Do you know anyone who works for any of the TJX divisions?
q
q
Yes
No
Name:
q
q
q
q
How were you introduced to us?
Employee Referral
Newspaper ad
Walk in
Internet
q
q
q
q
Other
College/University
Dept. of Employment
Community Organization
q
q
q
If hired,
and you are under 18
, can you furnish a work permit?
Yes
No
18 or over
q
q
If hired, can you provide proof of identify and authorization to work in the United States?
Yes
No
EMPLOYMENT DESIRED
Position you are applying for:
S
M
T
W
T
F
S
Date Available for work*:
From
To
Total hours available per week*:
q
q
q
q
What type of work are you looking for?
Part-time
Full-time
Regular
Temporary
q
q
Are you willing to relocate?
Yes
No
If yes, where?
Will you travel?
*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.
TJXAPP Rev 1/11