Employment Application Form - Tjx Page 4

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SIGNATURE
EMPLOYMENT APPLICATION
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:
_________________________
_____________________________________________________________________
MANAGEMENT ONLY
Reviewed by: ______________________________________________________
APPLICANT FORMS
Signature
______________________________________________________
WOTC Applicant Notification
Name
Date
Time
Interview scheduled for: _____________________
____________________
Date
Time
R. 11/15

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