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Today’sDate: Application for Employment …

Today s Date:Referred by: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 anygroup or class protected by applicable federal, state, or local law. TJX also provides reasonable accommodations to qualified individuals with disabilitiesin accordance with the Americans with Disabilities Act and applicable state and local law. If you require an accommodation in the Application process,please advise for NAME:LastFirstMiddleCURRENT ADDRESS:Street and NumberCityStateZip CodePREVIOUS ADDRESS:Street and NumberCityStateZip CodePreferred Name/Nickname(Optional)Home Telephone NumberCell Phone Number(Optional)E-Mail Address(Optional)Have you ever applied to HomeGoods, Marshalls, Maxx or The TJX Companies, yes, provide dates:Have you ever worked forqqHomeGoods, Mars

California applicants only: Connecticut applicants only: Georgia applicants only: Illinois applicants only: Applicants need not identify convictions that have been sealed, expunged, dismissed or

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