Charlotte Russe Job Application Form - Job Application Review
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1
2General Information
Location / Store #
Today’s Date
Position Desired
Date Available for Work
Are you at least 18 years of age? Yes
No
I am interested in:
Last 4 Digits of SSN
Full time – 32-40 hrs
If you are not at least 18 years of age can you produce proof of your age and ability to work?
Part time – 0-31 hrs
Yes
No
Seasonal/Temporary
Name (Last, First, Middle)
Please indicate the hours you are available to work, during both day and evening. (e.g.,
9:30 am — 5:30 pm, 5 — 10 pm)
Street Address
Sun
Mon
Tue
Wed
Thu
Fri
Sat
City, State, Zip Code
(It is your responsibility to notify your supervisor should your availability change)
Telephone (preferred )
Telephone (alternate )
Have you applied to or worked for Charlotte Russe before?
Yes
No
If you have worked for our company before, please state where, when, final position and
Email Address
reason for leaving.
Employment Location Desired
Do you have any relatives now employed by our company?
Yes
No
Salary Desired
If yes, indentify name(s), position and location.
Work Information
List ALL previous work experience beginning with your current/most recent position. Do not leave any gaps in your employment history. If you need additional space, please attach additional pages/resume.
May we contact your present employer? Yes No
Employer
Starting Position
Starting Salary
Final Salary
Address (Street, City, State, Zip Code)
Last Position
Supervisor’s Name / Title
Dates of Employment
Start (Month/ Year):
End (Month/ Year):
Telephone
Reason For Leaving
Duties
Employer
Starting Position
Starting Salary
Final Salary
Address (Street, City, State, Zip Code)
Last Position
Supervisor’s Name / Title
Dates of Employment
Start (Month/ Year):
End (Month/ Year):
Telephone
Reason For Leaving
Duties
Employer
Starting Position
Starting Salary
Final Salary
Address (Street, City, State, Zip Code)
Last Position
Supervisor’s Name / Title
Dates of Employment
Start (Month/ Year):
End (Month/ Year):
Telephone
Reason For Leaving
Duties
Charlotte Russe participates in e-Verify. For more information go to
Please complete the reverse side of this application.
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Parent category: Business