SHARS CONSIGNMENT BOUTIQUE
EMPLOYMENT APPLICATION

Date:
I can work:
Full Time
Part Time
Temporary
Permanent
 
        
Times I can Work
Monday:
-
Tuesday:
-
Wednesday:
-
Thursday:
-
Friday:
-
Saturday:
-
Sunday:
-
     
 
*Full Name: *SSN:
Email Address:
Present Address: Apt.#
Permanent Address: Apt.#
Personal Phone #: Other Phone #:
Have you ever worked here under another name? Yes No
If yes, please list name:
 
Employment Record - Record last position first.
Failure to accurately account for all employment and school periods during the last 7 years may lead to your application to not be considered. If omissions of falsifications are discovered subsequent to your employment, such omissions or falsifications will be sufficient cause for discharge. List periods of school as follows: School name under “Company Name” and list dates attended.
 
Start Date:
Company Name and Address:

Supervisor:

Phone #:
Leave Date:
Job Title and Duties
Reason for Leaving
Wage
Start
End
Were you unemployed between positions? Yes No
If yes, how long? Why?
Start Date:
Company Name and Address:

Supervisor:

Phone #:
Leave Date:
Job Title and Duties
Reason for Leaving
Wage
Start
End
Were you unemployed between positions? Yes No
If yes, how long? Why?
Start Date:
Company Name and Address:

Supervisor:

Phone #:
Leave Date:
Job Title and Duties
Reason for Leaving
Wage
Start
End
Were you unemployed between positions? Yes No
If yes, how long? Why?
Start Date:
Company Name and Address:

Supervisor:

Phone #:
Leave Date:
Job Title and Duties
Reason for Leaving
Wage
Start
End
Were you unemployed between positions? Yes No
If yes, how long? Why?
Have you ever been asked to resign, or been fired for cause? Yes No
Have you ever worked for this company before? Yes No
Have you ever applied to this company before? Yes No
May we contact your previous employers? Yes No
Please list any employers you wish us not to contact:
 
Educational Record
Please check one - total number of years completed:
Less than 8
8-12
High School Graduate
College (# of years)
 
 
Name
Degree Recieved
Course Work
High School
Trade School
College
 
Please list outside activities or hobbies:
Are you older than 18? Yes No Are you older than 21? Yes No
Do you have reliable means to get to and from work? Yes No
Have you ever been convicted of a felony or misdemeanor other than a traffic violation? Yes No
List additional names of people working here that you know well:
 
*Please write a paragraph stating why you would like to work here
and how you would be an asset to this business.
  
References
Name
Title
Phone Number
Years Known
 
**IMPORTANT – PLEASE READ CAREFULLY**
By clicking the submit application button below, I hereby authorize investigation of all statements contained in this application, including inquiry of any and all of my former employers or references as indicated elsewhere in the application, and hold said former employers and/or references harmless from liability arising therefrom. I affirm that all the information contained in this application is true and correct; and that if there is any misrepresentation the company reserves the right to modify or terminate my employment at any time with or without cause, and without prior notice. I further understand that the duration, hours, nature, compensation and benefits of my employment may be changed or modified from time to time without limitation or condition. I understand that no representative of the company has any authority to make any assertions to the contrary. I hereby agree to abide by all policies and rules of the company that govern dress, hair, grooming and attitude. Signature of a form containing the information submitted here may be required at a later time.