EMPLOYMENT

EMPLOYMENTAPPLICATION
APPLICATION
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 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 Referred by:

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*: _________ S M T W Th F S

 Part-time  Full-time AM
 Regular  Temporary PM

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.

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EXPERIENCE
EMPLOYMENT APPLICATION
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.
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Employer Work Performed

Address (Street, City, State)

Telephone Number(s)
( )
Job Title Supervisor

Reason for Leaving

Dates Employed Hourly Rate / Salary

From: To: Starting: Final:
Employer Work Performed

Address (Street, City, State)

Telephone Number(s)
( )
Job Title Supervisor

Reason for Leaving

Dates Employed Hourly Rate / Salary

From: To: Starting: Final:
Employer Work Performed

Address (Street, City, State)

Telephone Number(s)
( )
Job Title Supervisor

Reason for Leaving

Dates Employed Hourly Rate / Salary

From: To: Starting: Final:
Employer Work Performed

Address (Street, City, State)

Telephone Number(s)
( )
Job Title Supervisor

Reason for Leaving

Dates Employed Hourly Rate / Salary

From: To: 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: ____________________________________________________________________________________
_______________________________________________________________________________________________________
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EDUCATION
EMPLOYMENT APPLICATION
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:

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Field of
Name of School Location (City, State) Degree Received?
Study

HIGH
High School Diploma or GED Yes / No
SCHOOL

COLLEGE Yes / No

COLLEGE Yes / No

SKILLS AND QUALIFICATIONS

Please check all that apply:
 Bookkeeping  Microsoft® Excel  Cash Office  Fork-Lift Operator
 Calculator  Microsoft® Outlook  Cashier  General Warehouse
 Data Entry  Microsoft® PowerPoint  Customer Service  Inventory Clerk
 Financial Reports  Microsoft® Word  Merchandiser  Maintenance
 General Clerical  Sales Associate  Packer
 Payroll  Stock Room
 Statistical Typing
 Switchboard
 Typing (speed _________)

List any other special training, experience, skills, or qualifications relevant to the position for which you are applying:
_____________________________________________________________________________________________________

PROFESSIONAL REFERENCES

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

May we contact each of your references?  Yes  No If not, who and why? ___________________________________
______________________________________________________________________________________________________

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SIGNATURE
EMPLOYMENT APPLICATION
READ CAREFULLY BEFORE SIGNING AS THESE ITEMS REPRESENT SIGNIFICANT MATTERS IN CONNECTION WITH YOUR
APPLICATION

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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: ______________________________________________________

Signature APPLICANT FORMS
______________________________________________________  WOTC Applicant Notification
Name Date Time

Interview scheduled for: _____________________ ____________________

Date Time

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