APPLICATION FOR EMPLOYMENT
AN EQUAL OPPORTUNITY EMPLOYER
NAME LAST FIRST MIDDLE DATE
(STREET, CITY, STATE, ZIP CODE)
(IF DIFFERENTFROM ABOVE)
HOME PHONE ( )
CELL PHONE ( )
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.)
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).
POSITION APPLIED FOR REFERRAL SOURCE:
WALK IN EMPLOYEEEREFERRAL CUSTOMER GAMESTOP WEBSITE INTERNET POSTING NEARBY CAMPUS JOB FAIR
ARE YOU INTERESTED IN FULL TIME
WHO REFERRED YOU? ________________________________________
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