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the toggery resale boutique

Employment Application

Name:_____________________________________________

Address:___________________________________________

Phone:____________________________________________

If you are under 18 years of age, can you provide a work permit? Yes____ No____

Have you ever worked for this company? Yes____ No____

If yes, when? ______________________________

Are you a citizen of the United States? Yes____ No____

If not, are you legally allowed to work in the United States? Yes____ No____

Have you ever pleaded guilty, no contest or been convicted of a crime? Yes____ No____

If yes, give dates and details: ________________________________________________

________________________________________________

(Answering yes to these questions does not constitute an automatic rejection for employment. Date of the offense, seriousness and nature of the violation, rehabilitation and position applied for will be considered.)

Please tell us what makes you a good candidate to work at The Toggery

_______________________________________________

_______________________________________________

What position are you applying for? _________________________

Starting salary? ___________________

PREVIOUS EMPLOYMENT (begin with most recent position)

Dates of employment _____________ to ____________

Company name: ________________________________________________

Address: ________________________________________________

________________________________________________

Phone: ________________________________________________

Supervisor Name & Title: ________________________________________________

Responsibilities: ________________________________________________

________________________________________________

Starting Salary & Title __________________

Ending Salary& Title____________________

Reason for Leaving: ________________________________________________

________________________________________________

May we contact this employer for a reference?

Yes ____ No ____

I certify that my answers are true and complete to the best of my knowledge. I authorize you to make such investigations and inquiries of my personal, employment, educational, financial and other related matters as may be necessary for an employment decision. I hereby release employers, schools or individuals from all liability when responding to inquiries in connection with my application.

In the event that I am employed, I understand that false or misleading information given in my application or interview(s) may result in discharge.

Signature of Applicant:________________________ Date:________________________