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APPLICATION FOR EMPLOYMENT

PERSONAL INFORMATION

Date Social Security Number Referred by
First Name Last Name  
 
Phone Number Day Evening
Present Address
(street, city, state, zip) 		How Long  
 
Permanent Address
(street, city, state, zip)
Date of Birth  
 
Are you a US Citizen? Yes No
Are you Bilingual? Yes No
Are you eligible for employment in the US?
(proof of US citizenship or immigration status will be required if hired for a position. 		Yes No
Have you been convicted of a felony in the last (7) years?
Yes No
If yes, list convictions that are a matter of public record (arrests are not convictions) A conviction will not necessary disqualify you for this employment

EMPLOYMENT DESIRED
If you are applying for a retail hourly position, please keep in mind that the availability of hours may vary.

Position Rate Desired Date you can start

Specify hours available for work each day of the week

Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Are you able to work overtime? Yes No
Have you ever worked for Jay/Dee/SneakerKing Yes No | If yes when/which location?

 

FORMER EMPLOYERS
List below current and last two employers starting with most recent one first. Please include any non-paid/volunteer experience which is related to the job for which you are applying.

Date (M/D/Y)
From/To		 Current Employer Name Salary or Hourly
Starting/Ending		 Position Reason for Leaving
Duties Performed
Supervisor's Name Phone Number May We Contact?
Date (M/D/Y)
From/To		 Current Employer Name Salary or Hourly
Starting/Ending		 Position Reason for Leaving
Duties Performed
Supervisor's Name Phone Number May We Contact?

 

EDUCATION

School Level
Name and Location of School
Years Attended
Date Graduated
Subject Studied/Degree Received
High School
College
Trade, Business, Other

Jay-Dee/SneakerKing is an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including race, color, age, sex, religion, national origin, the presence of mental, physical, or sensory disability, sexual orientation, or any basis prohibited by federal, state or provincial law.

 

REFERENCES
Give below names of three professional references, whom you have known at least one year.

Name Address & Phone Number Business Years Acquainted
How do you know this person?

If hereby authorize Jay-Dee/SneakerKing to thoroughly investigate my background, references, employment record and other matters related to my suitability for employment. I authorize persons, schools, my current employer (if applicable), and previous employers and organizations contacted by Jay-Dee/SneakerKing to provide relevant information regarding my current and/or previous employment and I release all persons, schools, employers of any and all claims for providing such information. I understand that nothing contained in this application, or conveyed during any interview which may be granted is intended to create an employment contract. I understand that filling out this form does not indicate there is a position open and does not obligate Jay-Dee/SneakerKing to hire me. I understand and agree that my employment is at will, which means that it is for no specific period and may be terminated by me or Jay-Dee/SneakerKing at any time without prior notice for any reason.

Date Electronic Signature