Fillable Victoria'S Secret Employment Application Form (Page 2 of 4) in pdf

AcADEmic AnD profEssionAl ActivitiEs AnD AcHiEvEmEnts

Academic and Professional Activities and Achievements, Awards, Publications or Technical-Professional Societies, indicate type or name. Exclude organizations which indicate race, color, gender,

sexual orientation, gender identity, age, religion, disability, marital status, citizenship, national origin or any other protected category recognized by state, federal or local laws of its members.

spEciAl skills

Other Skills applicable to position applied for (e.g. computer proficiency)

What languages do you speak fluently?

miscEllAnEoUs

Is there any additional information involving a change of your name or assumed name that will permit us to check your work record?

Have you previously been employed by any Limited Brands, Inc. Division?

Employment Date(s)

Division(s) Employed

Position(s) Held

o Yes

o No

List names of any person you know now employed by any Limited Brands, Inc. Division:

At Victoria’s Secret Stores a good attendance record is an important part of every associate’s overall performance. Do you know of any reason you may not be able to comply with Victoria’s Secret

Stores’ attendance policy?

pErson to contAct in cAsE of EmErgEncy

This information is to facilitate contact in the event of any emergency and is not used in the selection process.

Full Name

Address

Phone

AvAilAbility

SUN

MON

TUE

WED

THUR

FRI

SAT

Start date: __________________

End date: __________________

Min # hours available weekly: __________________

Max. # hours available weekly: __________________

Will you be available to work: Thanksgiving (week) o Yes

Christmas (week prior) o Yes

o No

Available start date: __________________

Christmas (week of) o Yes

Other ______________________________________________

o No

plEAsE rEAD tHis stAtEmEnt cArEfUlly

I hereby affirm that the information given by me on the application for employment is complete and accurate. I understand that any falsification or omission either on this application, or otherwise

providing false information to the Company will be immediate grounds for dismissal, no matter when the falsification or omission is discovered. I authorize a thorough investigation to be made in

connection with this application concerning my character, general reputation, personal characteristics, employment, education, and criminal record, whichever may be applicable for employment

purposes. I understand this investigation may include personal interviews with third parties such as family members, business associates, financial sources, friends, neighbors, and others with whom I

am acquainted. I further understand I have the right to make a written request within a reasonable period of time for complete and accurate disclosure of the nature and scope of the investigation.

It is my understanding that as a prerequisite to consideration for employment, I must agree to submit to any post-employment examinations, physical or other, as the Company may lawfully require. The

Company will pay the reasonable cost of any such examination which may be required.

If I am hired, I agree that my employment and compensation can be terminated with or without cause, and without notice at any time, at the option of Victoria’s Secret Stores or myself. I understand that,

unless modified in written agreement signed by both me and the Vice President of Human Resources or the President of Victoria’s Secret Stores, no representative of Victoria’s Secret Stores has the

authority to make any agreement for employment for a specified time or to make any other agreement contrary to the foregoing.

I have read and affirm as my own the above statements.

____________________________________________________________________

________________________

Applicant’s Signature

Date

ApplicAnts in tHE stAtE of mArylAnD only

Under Maryland law an employer may not require or demand any applicant for employment or any employee to submit to or take a polygraph, lie detector or similar test or examination as a condition of

employment or continued employment. Any employer who violates this law shall be subject to criminal penalties and civil liability.

____________________________________________________________________

________________________

Applicant’s Signature

Date

ApplicAnts in tHE stAtE of mAssAcHUsEtts only

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. Any employer who violates this law shall be subject to criminal penalties

and civil liability.

____________________________________________________________________

________________________

Applicant’s Signature

Date

ApplicAnts in tHE stAtE of connEcticUt only

I agree to be scheduled for less than four (4) hours of work on any given day at Victoria’s Secret Stores, provided the minimum daily pay in every instance shall be at least twice the applicable minimum

hourly rate.

____________________________________________________________________

________________________

Applicant’s Signature

Date