Victoria'S Secret Employment Application Form
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4EmploymEnt ApplicAtion
Position Desired: ____________________________________
An equal opportunity employer, Victoria’s Secret Stores does not
Schedule Desired: o Full Time
o Part Time
discriminate in hiring or terms and conditions of employment
because of an individual’s race, color, religion, gender, gender
o Temporary/Seasonal
identity, national origin, citizenship, age, disability, sexual orientation,
marital status or any other protected category recognized by state,
Salary/Wage Expected:$ ___________ per _____________
federal or local laws. Victoria’s Secret Stores only hires individuals
authorized for employment in the United States.
_________/_________/_________
Date Available:
_________/_________/_________
Date of Application
Each inquiry on this application must be fully answered or completed. otherwise, you will not be considered for employment.
pErsonAl informAtion
Last Name
First Name
Middle Name
Are you authorized for
employment in the U.S.?
o Yes
o No
Present Street Address
City
State
Zip
How long have you lived there?
Yrs.
Mos.
Previous Street Address
City
State
Zip
How long did you live there?
Yrs.
Mos.
Home Phone Number (including Area Code)
Email Address
Are you under the age of 18?
o Yes
o No
EDUcAtion
Number of Years
Graduated
Type of School
Name and Location of School
Degree/Area of Study
Attended
(Check One)
HIGH SCHOOL
Name
o Yes
o No
City
State
COLLEGE
Name
o Yes
o No
City
State
OTHEr
Name
o Yes
o No
City
State
EmploymEnt History
List employment starting with your most recent position. Account for any time during this period that you were unemployed by stating the nature of your activities. If you have less than four places of
employment, include personal references to be contacted. May we contact your current employer?
o Yes
o No
Dates
Name and Address of Employer
Position Held and Supervisor
List Major Duties
Wages
reason for Leaving
______/______
Name
Your Job Title
Starting
From:
Mo.
Yr.
Address
______/______
To:
Final
Mo.
Yr.
Phone
Supervisor
______/______
Name
Your Job Title
Starting
From:
Mo.
Yr.
Address
______/______
To:
Final
Mo.
Yr.
Phone
Supervisor
______/______
Name
Your Job Title
Starting
From:
Mo.
Yr.
Address
______/______
To:
Final
Mo.
Yr.
Phone
Supervisor
______/______
Name
Your Job Title
Starting
From:
Mo.
Yr.
Address
______/______
Final
To:
Phone
Supervisor
Mo.
Yr.
Have you ever been discharged or asked to resign from a job(s)? o Yes
o No
If yes, please provide details, including place(s) of employment, location(s), date(s), supervi-
sor’s name(s), and circumstances of the discharge(s) or resignation(s):
___________________________________________________________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________________________________________________________
rEV 5/11
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