* ALL FIELDS IN RED are required
First Name:
Last Name:
Address:
Apt.
City:
State:
AL
AK
AR
AZ
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip
Day Phone:
Evening Phone:
Best Time to call:
Email:
retype Email:
Position Applying for:
select
Store Manager
Asst. Store Manager
Sales Consultant
Warehouse Leader
Warehouse Help
Bookkeeper
Seamstress
Other
Salary desired $:
*Social Security # You will be asked to provide SS# at time of interview .
How many hours per week would you like to work?
What is the earliest date you could start?
Days and times
that you are
available to work:
(
our store hours
)
Monday
from
to:
Tuesday
from
to:
Wednesday
from
to:
Thursday
from
to:
Friday
from
to:
Saturday
from
to:
Sunday
from
to:
Comments
Employment History
Please list your most recent employer / work experience first.
Position Held
Position Held
Position Held
Company
Company
Company
Dates Worked
Dates Worked
Dates Worked
From:
From:
From:
To
To
To
Immediate Supervisors
Immediate Supervisors
Immediate Supervisors
Name:
Name:
Name:
Phone
Phone
Phone
Salary $
Salary $
Salary $
Reason for Leaving
Reason for Leaving
Reason for Leaving
© 2002-2008 by Baryames Tuxedo. All Rights Reserved | E-mail: info@baryames.com
