Gratis

Páginas: 4 (949 palabras) Publicado: 29 de septiembre de 2011
APPLICATION FOR EMPLOYMENT
AN EQUAL OPPORTUNITY EMPLOYER

PERSONAL DATA
NAME LAST FIRST MIDDLE DATE

PRESENT ADDRESS

(STREET, CITY, STATE, ZIP CODE)

PERMANENT ADDRESS

(IF DIFFERENTFROM ABOVE)

HOME PHONE ( )

CELL PHONE ( )

E-MAIL ADDRESS

ARE YOU AT LEAST 16 YEARS OLD? YES NO

ARE YOU 18 OR OVER? YES NO

ARE YOU LEGALLY PERMITTED TO WORK IN THE UNITED STATES? YES NOHAVE YOU EVER BEEN CONVICTED OF, OR PLEAD GUILTY TO, A FELONY OR MISDEMEANOR, INCLUDING DRIVING UNDER THE INFLUENCE OF INTOXICANTS? (Not to be completed by applicants in Hawaii, prior to a conditionaloffer of employment. California, Connecticut and Illinois applicants are not
required to disclose the existence of any criminal charges or convictions that have been erased, expunged or sealed.California applicants are not required to disclose misdemeanor convictions involving marijuana or controlled substances as described in California Labor Code section 432.8 that are more than two years oldand misdemeanor convictions for which probation has been successfully completed or discharged and that have been judicially dismissed. In Massachusetts, "An applicant for employment with a sealedrecord on file with the commissioner of probation may answer 'no record' with respect to an inquiry herein relative to prior arrests, criminal court appearances or convictions." Utah applicants are notrequired to disclose misdemeanor convictions.)

YES

NO

IF YES, LIST DATE(S), OFFENSE(S), AND WHERE CONVICTED. ATTACH A SEPARATE SHEET OF PAPER WITH INFORMATION IF NECESSARY.

(A CONVICTION ISNOT NECESSARILY A BAR FOR EMPLOYMENT. CONVICTIONS WILL BE CONSIDERED ONLY AS RELATED TO THE JOB APPLIED FOR).

PLACEMENT INFORMATION
POSITION APPLIED FOR REFERRAL SOURCE:
WALK IN EMPLOYEEEREFERRAL CUSTOMER GAMESTOP WEBSITE INTERNET POSTING NEARBY CAMPUS JOB FAIR

ARE YOU INTERESTED IN FULL TIME

PART TIME

TEMP

WHO REFERRED YOU? ________________________________________

OTHER...
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