Name*

First NameLast Name

Birth Date*

Date

Phone Number*

Email*

myname@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Have you ever been previously employed by The Exchange before?*

YesNo

If you are under 18, can you provide a work permit (if applicable)?*

YesNo

Are you a U.S. Citizen or are you eligible to work in the U.S.?*

YesNo

Have you pled "guilty" or "no contest" to, or been convicted of a crime in the last 5 years? (Answering "yes" to these questions does not constitute an automatic bar to employment. Factors such as date of the offense, seriousness and nature of the violation, rehabilitation and position applied for will be taken into account. Applicant need not report convictions that have been expunged or sealed.)*

YesNo

What position are you interested in? (Warehouse Associate and Delivery Driver located in Cleveland, OH only.)*

Store AssociateStore ManagerWarehouse AssociateDelivery Driver

Select your preferred Exchange location(s) below (select all that apply).*

What type of employment are you seeking?*

Full-TimePart-Time

Please select the days you are available. (List the days of the week and all of the above)*

10-20 Hours20-40 Hours

Please select the days you are available.*

Please select the time of day you are available.*

10:00am - 4:00pm4:00pm - 9:30pmAll of the Above

Please select the date you are available to start.*

Date

Application Questionnaire

How are you familiar with The Exchange?

Tell us a little about yourself.

What skills or experiences make you the best match for a position with The Exchange?

List your greatest strengths.

What can you improve upon?

Tell us some positives and/or negatives about your previous employment experience, including former management styles.

Work History

(Please list your most recent employer and position.)

Employer Name

Your Position

Reason for Leaving

List any References

Name

Phone Number/ Email

Relationship

Resume and Files

Information Release & At-Will Disclaimer

I certify that all the information in this application is true, complete and accurate in all respects. I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to a) cancel further consideration of this application; or if I am employed, b) immediately discharge me from continued employment, regardless of when the discovery is made and regardless of my work performance.

I hereby authorize you to verify the accuracy of the information contained in this application. I understand and agree that, if I am hired, my employment will be for no definite period of time and that I am free to resign at any time, with or without cause and with or without prior notice and that the employer reserves the same right to terminate my employment at any time, with or without cause and with or without prior notice, except as may be required by law. This application is not an agreement or contract for employment for any specific period or definite duration or particular position. I understand that no supervisor or representative of the employer is authorized to make any oral assurances to the contrary and that no implied, or written agreement otherwise is valid unless in writing and signed by the employer's president.

I understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the United States and that federal immigration laws require me to complete an I-9 Form and present photo identification. I understand that the employer may conduct a background investigation of me and I agree that the employer may do so with the understanding that, if I am permitted to begin work before the

background investigation is complete, my continued employment is conditional upon completion of the background investigation to the employer's satisfaction. I authorize and direct any and all persons with knowledge or information concerning me or my background, including (but not limited to) former employers listed on this application, consumer credit reporting agencies, information service bureaus and law enforcement agencies to provide all such information to the employer and all persons contacted by the employer from any and all liability for releasing such information.

I acknowledge that, if employed, I will have access to and gain knowledge of the employer's trade secrets and confidential information and that such trade secrets and information are valuable, special and unique assets of the employer to which the employer has the right to retain a proprietary interest. I agree that I will maintain the confidentiality of all trade secrets and proprietary information of the employer and will not at any time during my employment, or following the conclusion of my employment disclose such trade secrets and confidential information to any person, firm or company for any reason and/or purpose whatsoever and I agree that I shall not use the employer's trade secrets, proprietary and confidential information for my own benefit or use. I understand that there is no time limit on this obligation and that it continues into the future with no ending date.

Text Messaging & Privacy Policy

By providing my phone number to The Exchange, I agree and acknowledge that The Exchange may send text messages to my wireless phone number for any purpose. Message and data rates may apply. Message frequency will vary, and you will be able to opt out by replying "STOP".

Privacy Policy:

No mobile information will be shared with third parties/affiliates for marketing/promotional purposes. All the above categories exclude text messaging originator opt-in data and consent; this information will not be shared with any third parties.