Application for Employment
General Information
Name
*
:
Address:
Telephone:
How did you learn about this position?
Are you
under
16 years of age?
Yes
No
Have you worked at Nobbies before?
Yes
No
If yes, give starting and end date:
to
Are you able, at the time of employment, to submit verification of your legal right to work in the United States?
Yes
No
Note: If hired, by law you must complete an I-9 form required by the U.S. Immigration & Naturalization Service within your first three days of employment.
Employment Experience
(Begin with the most recent)
Employer
Phone
Address
Job Title
Supervisor
Reason for Leaving
Dates Employed
Rate/Salary
From
To
Starting
Final
Work Performed
May we contact this employer?
Yes
No
Employer
Phone
Address
Job Title
Supervisor
Reason for Leaving
Dates Employed
Rate/Salary
From
To
Starting
Final
Work Performed
May we contact this employer?
Yes
No
Employer
Phone
Address
Job Title
Supervisor
Reason for Leaving
Dates Employed
Rate/Salary
From
To
Starting
Final
Work Performed
May we contact this employer?
Yes
No
Employer
Phone
Address
Job Title
Supervisor
Reason for Leaving
Dates Employed
Rate/Salary
From
To
Starting
Final
Work Performed
May we contact this employer?
Yes
No
We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, or any other legally protected class.
Position Desired
Wage Desired
Please list the specific hours you are available to work each day:
Day
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
From:
To:
Indicate the number of hours you would like to work weekly:
Date available to begin: (M/D/Y)
/
/
Education and Training
School
Name of School
City
Major Courses
or Subjects
Year of
Graduation
High School
College or University
Other/Special Training
Please indicate the tasks/positions in which you have training and/or experience:
Acct.'s Payable/Receivable
Desktop Publishing
Inventory Control
Retail Floor Sales
Advertising
Driver
Merchandising
Stocking Crew
Buyer/Purchasing
General Office
MS Excel
Typing - WPM:
Data Entry
General Warehouse
MS Word
10 Key
Describe any other special skills/qualifications you have (i.e. make-up, costuming, balloons, artistic ability, computer programs etc.):
References
Give name, address, and telephone number of three references who are not related to you and are not previous employers.
Have you been convicted of a felony or misdemeanor within the last 5 years?
Yes
No
Describe
*You will not be denied employment solely because of a conviction record, unless the offense is related to the job for which you have applied.
APPLICANT'S AGREEMENT
It is understood and agreed upon that any misrepresentation by me on this application will be sufficient cause for cancellation of this application and/or separation from the employer's service if I have been employed. I give the employer the right to investigate all references and to secure additional information about me, if job related, I hereby release from liability the employer and its representatives for seeking such information and all other persons, corporations, or organizations for furnishing such information. I understand that just as I am free to resign at any time, the employer reserves the right to terminate my employment at any time, with or without cause and without prior notice. I understand that no representative of the employer has the authority to make any assurances to the contrary.
I agree
*
*
Notes Required Fields
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