Employment Application - Hot Topic (Page 2 of 2) in pdf

Work History:

Please start with your most recent employer and account for any periods of unemployment.

Company Name:

Address:

(Street, City, St, Zip)

Phone #:

Name & Title of Supervisor:

May We Contact:

Yes

Start Date:

Start Position:

Start Salary:

End Date:

End Position:

End Salary:

Responsibilities:

Reason For Leaving:

Company Name:

Address:

(Street, City, St, Zip)

Phone #:

Name & Title of Supervisor:

May We Contact:

Yes

Start Date:

Start Position:

Start Salary:

End Date:

End Position:

End Salary:

Responsibilities:

Reason For Leaving:

Company Name:

Address:

(Street, City, St, Zip)

Phone #:

Name & Title of Supervisor:

May We Contact:

Yes

Start Date:

Start Position:

Start Salary:

End Date:

End Position:

End Salary:

Responsibilities:

Reason For Leaving:

Company Name:

Address:

(Street, City, St, Zip)

Phone #:

Name & Title of Supervisor:

May We Contact:

Yes

Start Date:

Start Position:

Start Salary:

End Date:

End Position:

End Salary:

Responsibilities:

Reason For Leaving:

Additional Experience/Skills/Information:

Please list any computer software skills: __________________________________________________________________________________________

What additional skills, training, or experience do you bring to Hot Topic? _________________________________________________________________

___________________________________________________________________________________________________________________________

Why did you choose to apply at Hot Topic? ________________________________________________________________________________________

___________________________________________________________________________________________________________________________

What does Customer Service mean to you? _______________________________________________________________________________________

___________________________________________________________________________________________________________________________

Tell us how you discover new music: ______________________________________________________________________________________________

___________________________________________________________________________________________________________________________

Business/Professional References:

Name

Company

Current Phone #

Relationship

APPLICANT’S CERTIFICATION AND AGREEMENT

I hereby authorize Hot Topic, Inc. to investigate my background, references, employment records, education, and other matters related to my suitability for employment. I authorize persons, schools, my

current/previous employers, and any organizations contacted by Hot Topic, Inc. to release any information regarding this application for employment and I release all persons, schools, employers, and

organizations of any and all claims for providing such information. I understand that filling out this form does not necessarily indicate that there is a position open and does not obligate Hot Topic, Inc. to hire

me. I certify that the facts set forth in this application for employment are true and complete to the best of my knowledge and I understand that nothing in this application or conveyed during any interview (if

granted,) is intended to create a promise of employment or any contractual rights. I understand that if I am employed, false statements or any omissions on this application shall be considered sufficient

cause for dismissal regardless of the time elapsed before discovery.

Signature: _______________________________________________________

Date: ______________________________

9-503 HI Rev 11/10 MM