Contact Information

Are you able to legally work in the United States?

Employment Information

Are you currently employed?
Is your current job...
What kind of job are you looking for?
Have you ever applied to, or worked for, Smokin' Joe's Tobacco Shop, Inc. before?
If YES, when and where:

Education, Training and Skills Information

Did you graduate?
Did you graduate?
Do you have any special skills, additional schooling or degrees received? Please list:
Do you have any military experience?
What type of education, training or work experience did you receive while in the military?

Former Employers

List your last 3 Employers, starting with the most recent.
Reasons for leaving:
Reasons for leaving:
Reasons for leaving:


List 3 references (other than family members).

Pre-Employment Questionnaire

If you are applying to a position in one of our retail stores, please continue to fill out this section below:
Are you at least 18 years old?
Please indicate below by selecting which days you are available. (Please check all that apply)
Please select the shift(s) you are available. (Please check all that apply)
How many hours per week can you work? (Please select one)
Are you looking for a long-term permanent or a short-term, position?
Is there any reason you would not be able to arrive to work at your scheduled start time?
Have you ever been fired or forced to resign from any employment?

Have you ever been convicted of a crime?
Please Note: Convictions do not necessarily disqualify an applicant. Factors such as time of offense, nature of violation, seriousness, and rehabilitation will be considered.
Can you perform the essential duties and meet the physical demands of this job — with or without reasonable accommodation, such as: operating a cash register; mopping floors; stocking shelves; standing for long periods of time; lifting up to 25 pounds; cleaning; and interacting with and communicating with customers, co-workers and the general public in a retail store setting?
How much "money" or "material value" can be taken before you consider it to be stealing?
If your shift starts at 4:00 pm, what time should you arrive for work?
How many times do you believe it is reasonable to call off work for a shift during the course of a month?
Do you have any experience in operating a cash register?
Do you have any experience in operating a Lottery Terminal?
Do you know anyone who is employed, or who was previously employed by Smokin' Joe's Tobacco Shop, Inc.?

Applicant's Statement & Authorization

By signing, (or submitting), below, I certify that the facts contained in this Application are true and complete to the best of my knowledge, and I understand that if employed, falsified statements on this Application shall be grounds for dismissal. I authorize investigation of all statements contained herein, and I authorize the references, and employers listed herein to give Smokin' Joe's Tobacco Shop, Inc., (SJTS, Inc.), any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise. I release SJTS, Inc. and/or its representatives from any and all liability for damages that may result from ultilization of such information. I understand that if I become employed, I agree to abide by the rules and policies of SJTS, Inc.  I understand that my employment is "at will". This means that I do not have a contract of employment for any particular duration, or that limits the grounds for my termination in any way. I am free to resign at any time. Similarly, SJTS, Inc. is free to terminate my employment at any time, for any or no reason. I understand and agree that no representative of SJTS, Inc. has any authority to enter into any agreement for employment for any specific period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an officer of SJTS, Inc. I understand that if hired, my employment will be contingent upon SJTS, Inc. approved Background and Criminal Record Check(s). I also understand I will be charged an application fee which will be deducted from my first paycheck for the cost of the Background and Criminal Record Check(s).