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Iowa City Positions Available*
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Coralville Positions Available*
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Waterloo Positions Available*
Davenport Positions Available*
Ankeny Positions Available*
Clive Positions Available*
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Name*
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Phone*
Address*
Street Address City State / Province / Region ZIP / Postal Code
Are you over age of 18?*
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Can you provide proof of your eligibility to work?*
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Do you want to work*
- Full-time
- Part-time
- Either
Do you want to work*
- Day-time
- Night-time
- Either
Workday Availability - Checkmark when you are available*
- Monday
- Tuesday
- Wednesday
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- Friday
- Saturday
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When can you start?*
Date Format: MM slash DD slash YYYY
Salary or wage required:
Have you ever been employed by Stuff Etc®?*
- Yes
- No
If yes, when?*
What was your position?*
Is there anything that would prevent you from performing the essential activities of the position for which you have applied in a safe and reasonable manner?*
- Yes
- No
If yes, please explain*
Have you ever been convicted of a crime?*
- Yes
- No
If yes, state nature of offense, date, location and disposition:*
Do you have the legal right to remain and work in the United States?*
Federal laws require that employers hire only individuals authorized to work in the United States. In compliance with such laws, the Company will verify the status of every individual offered employment with the company. All offers of employment will be subject to verification of the applicant’s identity and employment authorization. It will be necessary for you to submit such documents as required by law to verify your identity and employment authorization.
- Yes
- No
State the name of any relative working for Stuff Etc®

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Work History
List in order with current or most recent employer first. Account for your entire employment history and for any gaps in your employment. If you need more room to complete your work history, use additional sheets of paper.
Employer Business Name
Employer Phone Number
Start Date
Date Format: MM slash DD slash YYYY
End Date
Date Format: MM slash DD slash YYYY
Starting Rate of Pay
Ending Rate of Pay
Supervisor Name
Supervisor Title
Describe in detail the work you performed
Employer Business Name
Employer Phone Number
Start Date
Date Format: MM slash DD slash YYYY
End Date
Date Format: MM slash DD slash YYYY
Starting Rate of Pay
Ending Rate of Pay
Supervisor Name
Supervisor Title
Describe in detail the work you performed
Employer Business Name
Employer Phone Number
Start Date
Date Format: MM slash DD slash YYYY
End Date
Date Format: MM slash DD slash YYYY
Starting Rate of Pay
Ending Rate of Pay
Supervisor Name
Supervisor Title
Describe in detail the work you performed

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Military Service Record
Have your ever served in the U.S. Armed Forces?*
- Yes
- No
If yes, will you supply a copy of your DD-214 (Discharge) report?
- Yes
- No
List your duties in the Service, including special training received, which are related to the position for which you are applying
Pre-Employment Statement
(Please read very carefully before agreeing to terms)
I understand and voluntarily agree that*
The information provided on this application is true and complete to the best of my knowledge. Any misrepresentation or omission of any material fact in my application, resume, or other materials, or during any interviews, can be justification for refusal of employment, or termination, if employed. Any offer of employment I may receive from the company is contingent upon my successful completion of the pre-employment screening process, including receiving references that the company considers satisfactory. I understand that as a condition of continued employment, I may be required to submit to an alcohol or drug screening at any time at the discretion of the company. I give my permission for the company to verify all information provided by me, and/or to obtain or have prepared an investigative consumer report for this purpose. This report may include, but not be limited to, my prior employment and/or military record, education, character, general reputation, personal characteristics, criminal record and mode of living. I understand that upon written request to the company, I will be informed of whether an investigative consumer report was requested and given full information as to the nature and scope of this investigation. I authorize and request that all of my present and former employers and those individuals I have listed as references furnish information about my employment record. This information may include the reason for the termination of my employment, work performance, abilities and other qualities pertinent to my qualifications for employment. I release them from all liability for damages arising from furnishing the requested information. In consideration of my employment, I agree to comply with the policies, rules, regulations and procedures of the company. I understand that my employment with the company is on a voluntary basis and may be terminated by the company or me at any time with or without cause or notice. I further understand that no one, other than an officer of the company, has any authority to enter into an employment agreement with me for any specified time or to make an agreement different from or contrary to any company policy. I further understand that any such agreement, if made, shall not be enforceable unless it is in writing and signed by me and an officer of the company.
- I understand and voluntarily agree to the Pre-Employment Statement above.
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Stuff Etc

Corporate Office
2818 Commerce Drive
Coralville, IA 52241

Locations

Iowa City
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Davenport
Ankeny
Clive

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