Form Pr-2 - Application For Employment
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1
2APPLICATION FOR EMPLOYMENT
rue21 is an equal opportunity employer dedicated to non-discrimination in employment. rue21 selects the best qualified individual for the job based on job-related
qualifications regardless of race, color, age, sex, religion, national origin, mental or physical disability, ancestry, marital status, veteran status or any other status
protected by applicable law. All statements by applicants for employment on the application will be carefully checked for accuracy. The use of this form does not mean
there are positions open and does not obligate us in any way.
PERSONAL INFORMATION
Name (Last)
(First)
(M.I.)
Date of Application
Present Address
City
State
Zip Code
Permanent Address
City
State
Zip Code
Email Address
Phone Numbers
Home:
Cell:
Are you at least 16 years of age?
No
Yes
Are you eligible to work in the United States?
No
Yes
If below the age of 18, may be required to provide verification of permission to work.
All hires will be required to provide proof of eligibility to work in the United States.
Have you ever been discharged from a job?
Have you ever been convicted of a crime other than minor traffic violations or
misdemeanor convictions for which probation was completed?
No
No
Yes – please explain: ____________________________
________________________________________________
Yes – Please list the nature of the crime(s), the date & place of conviction
________________________________________________
and the legal disposition of the case.
________________________________________________
____________________________________________________________
________________________________________________
____________________________________________________________
A conviction will not necessarily disqualify you from employment.
Do you have any relatives currently employed by rue21?
No
Yes – Name of relative:
Relationship:
Have you interviewed by phone or in person with rue21 before?
No
Yes – Position:
Location:
EMPLOYMENT DESIRED
Position applying for
(check all that apply, indicating part-time or full-time when applicable):
Store Manager
Assistant Manager
Sales Associate
Stock Associate
Seasonal Associate
Other:______________
PT or
FT
PT or
FT
Have you ever worked for rue21 before?
Current Salary:
Which rue21 location
$______________________
are you seeking
No
___________________________
_____
employment?
Yes – When? __________________________
Desired Salary:
City
State
Which location? __________________
$______________________
Are you able to work overtime?
No
Yes
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Days/ hours
available to
work:
How did you hear about us:
Newspaper
Careerbuilder
Friend
Job Fair
rue21 employee: _________________
Other: _________________
EDUCATION
Circle Last
Did You
Subjects Studied/
Name and Address of School
Year Completed
Graduate?
Degrees Received
High School
1
2
3
4
Y
N
College
1
2
3
4
Y
N
Graduate School
1
2
3
4
Y
N
Trade, Business or
1
2
3
4
Y
N
Correspondence School
______________________________________________
Please list any other qualifications/training you have for this position:__
______________________________________________________________________________________________
PR-2
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