Application for Employment

Standard Application for Employment
It is our policy to comply with all applicable state and federal laws prohibiting discrimination in employment based on race, age, color, sex, religion, national origin, disability or other protected classifications. Please carefully read and answer all questions. You will not be considered for employment if you fail to completely answer all the questions on this application. You may attach a résumé, but all questions must be answered.
Location applying for
PERSONAL DATA
Name (last, first, middle)
Address

Street Address and/or Mailing Address

Street Address Line 2

CityState

Zip
Cell phone number
Format: (000) 000-0000.
Available

DaysEveningSwing shiftWeekends
Are they any days or times your not available?

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Date you can start work

MonthDayYear
Date
Salary Desired
Have you ever working in a boutique before?

YesNo
Are you comfortable with social media with posting reels and making videos?

YesNo
Are you authorized to work in the U.S. on an unrestricted basis?

YesNo
Have you ever been convicted of a felony? Convictions will not necessarily disqualify an applicant for employment

YesNo
Can you perform these essential functions of the job with or without reasonable accommodation?

YesNo

QUALIFICATIONS Please list any education or training you feel relates to the position applied for that would help you perform the work, such as schools, colleges, degrees, vocational or technical programs, and military training.

Rows	School Name	Degree	Address/City/State
High School
College
College

SPECIAL SKILLS List any special skills or experience that you feel would help you in the position that you are applying for leadership, organizations/teams, etc.

REFERENCES Please list three professional references not related to you, with full name, address, phone number, and relationship. If you don’t have three professional references, then list personal, unrelated references.

Rows	Name	Address/City/State	Phone	Relationship
Reference #1
Reference #2
Reference #3

WORK HISTORY Start with your present or most recent employment and work back. Use separate sheet if necessary. (INCLUDE PAID AND UNPAID POSITIONS)
Job Title #1
Start Date (mo/day/yr)

MonthDayYear
Date
End Date (mo/day/yr)

MonthDayYear
Date
Company Name
Supervisor’s Name
Phone Number
Format: (000) 000-0000.
City
State
Zip
Duties
Reason for Leaving
Starting Salary
Ending Salary
May we contact your present employer?
Yes
N/A
Job Title #2
Start Date (mo/day/yr)

MonthDayYear
Date
End Date (mo/day/yr)

MonthDayYear
Date
Company Name
Supervisor’s Name
Phone Number
Format: (000) 000-0000.
City
State
Zip
Duties
Reason for Leaving
Starting Salary
Ending Salary
Job Title #3
Start Date (mo/day/yr)

MonthDayYear
Date
End Date (mo/day/yr)

MonthDayYear
Date
Company Name
Supervisor’s Name
Phone Number
Format: (000) 000-0000.
City
State
Zip
Duties
Reason for Leaving
Starting Salary
Ending Salary
Job Title #4
Start Date (mo/day/yr)

MonthDayYear
Date
End Date (mo/day/yr)

MonthDayYear
Date
Company Name
Supervisor’s Name
Phone Number
Format: (000) 000-0000.
City
State
Zip
Duties
Reason for Leaving
Starting Salary
Ending Salary
I certify that the facts set forth in this Application for Employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements, omissions or misrepresentations may result in my dismissal. I authorize the Employer to make an investigation of any of the facts set forth in this application and release the Employer from any liability. The employer may contact any listed references on this application. I acknowledge and understand that the company is an “at will” employer. Therefore, any employee (regular, temporary, or other type of category employee) may resign at any time, just as the employer may terminate the employment relationship with any employee at any time, with or without cause, with or without notice to the other party.
Should be Empty:

Standard Application for Employment

PERSONAL DATA

Yes

N/A