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Do you have a passion for furnishings and design, or maybe you just love working with the public and thrive in an exciting, fast-paced retail environment? If so, we’d love to hear from you! Please complete our online application below, or download the print version here.

Employment Application

We are an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including age, sex, color, race, creed, national origin, religious persuasion, marital status, political belief, or disability that does not prohibit performance of essential job functions.

"*" indicates required fields

GENERAL INFORMATION

Date*

MM slash DD slash YYYY

Applicant's Full Name*

First Middle Last

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Phone #*

Email*

What position are you applying for?*

What location?*

How did you learn about this position?*

If you are hired for this position, can you provide written proof that you may legally work in the United States?*

Yes

No

Are you 18 years of age or older?*

Yes

No

Do you have any relatives or friends who are presently (or have formerly been) employed by Coastal Home or Exotic Imports?*

Yes

No

If yes, please give their name(s)*

Have you ever been convicted of a felony?*

Yes

No

If yes, please explain*

Do you have a valid Drivers License?*

Yes

No

Do you have reliable transportation?*

Yes

No

On what date are you able to begin work?*

MM slash DD slash YYYY

Can you work on Saturday?*

Yes

No

Can you work on Sunday?*

Yes

No

Can you work overtime as needed?*

Yes

No

Do you have any physical condition which may limit your ability to perform the job applied for?

(This question is voluntary, and any answers will be kept confidential)

Yes

No

Please briefly explain why we should consider you for the position for which you are applying:*

EMPLOYMENT HISTORY

Are you currently employed?*

Yes

No

Starting with your current or most recent position, give the requested information:

1. Employer

Supervisor

Address

Street Address City State / Province / Region ZIP / Postal Code Country

Phone #

Email

Dates of Employment

Hourly Wage or Salary

Description of your job title and duties

Reason for leaving position

May we contact this employer for a reference?

Yes

No

2. Employer

Supervisor

Address

Street Address City State / Province / Region ZIP / Postal Code Country

Phone #

Email

Dates of Employment

Hourly Wage or Salary

Description of your job title and duties

Reason for leaving position

May we contact this employer for a reference?

Yes

No

3. Employer

Supervisor

Address

Street Address City State / Province / Region ZIP / Postal Code Country

Phone #

Email

Dates of Employment

Hourly Wage or Salary

Description of your job title and duties

Reason for leaving position

May we contact this employer for a reference?

Yes

No

Have you ever been released, discharged, or laid off from any position?

Yes

No

If yes, please explain

List and explain any special skills relevant for the position for which you are applying that you have acquired from your employment or other activities. List all computer software and hardware you can use, typing speed, ten-key use, etc.

EDUCATIONAL HISTORY

High School

Name and Address

Study Specialty

Number of years completed

Degree or Diploma

College

Name and Address

Study Specialty

Number of years completed

Degree or Diploma

Graduate School

Name and Address

Study Specialty

Number of years completed

Degree or Diploma

Other Education

Describe any internships, other specialized training (including job-related experience in the United States military), extracurricular activities, licenses, or degrees that would be particularly helpful in performing this position.

To make inquiries about your work record, do we need any information about your name or your use of another?

Yes

No

If yes, please explain

MILITARY SERVICE

Dates

Branch

Honorable Discharge?

Assignment

Final Rank

REFERENCES

1. Name

Occupation

Phone #

Email

How long and in what context have you known this reference?

2. Name

Occupation

Phone #

Email

How long and in what context have you known this reference?

3. Name

Occupation

Phone #

Email

How long and in what context have you known this reference?

OTHER

If your application receives favorable consideration, what salary/hourly rate would you require?*

This information is required for your application to be considered: (Must be a dollar amount – “negotiable” is NOT an acceptable answer)

If your application receives favorable consideration, where do you see your career with Coastal Home in five years?*

APPLICANT'S DECLARATION

I understand that the information given in this employment application will be used in determining whether or not I will be hired for this position. I have made certain to give only true answers and understand that any falsification or willful omission will be grounds for refusal of employment or dismissal.

I understand that the employer hires on an employment-at-will basis, which employment may be terminated either by me or the employer at any time, with or without cause, for any reason consistent with applicable state and federal law. If I am offered the position for which I am applying, it will be employment-at-will, unless a written instrument signed by an authorized executive of the employer changes this.

I know that this application is not a contract of employment. I am lawfully authorized to work in the United States and, if offered the position, will give whatever documentary proof of this as the employer may request.

I further understand that the employer may investigate and verify all information I have given in this application, on related documents (including, but not limited to, my resume), and in interviews. I authorize all individuals, educational institutions, and companies named in this application to provide any information the employer may request about me, and I release them from any liability for damages for providing such information.

Applicant’s Full Legal Name*

First Middle Last

Signature*

Date*

MM slash DD slash YYYY

Name

This field is for validation purposes and should be left unchanged.

900 S Croatan Highway
MP 8.5 on the Bypass
Kill Devil Hills, NC 27948
252.441.6728

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