Form Pr-2 - Application For Employment (Page 2 of 2) in pdf

WORK HISTORY

From ____/____

Salary or Hourly

Employer – Name, Address, Type of Business

(i.e. retail, restaurant, accounting)

Month

Year

Starting $_________

____/____

Ending $_________

Month

Year

Position

Duties Performed

Average hrs. per wk.

______________________

Supervisor Name

Phone Number

Reason for Leaving

May we contact?

Yes

From ____/____

Salary or Hourly

Employer – Name, Address, Type of Business

(i.e. retail, restaurant, accounting)

Month

Year

Starting $_________

____/____

Ending $_________

Month

Year

Position

Duties Performed

Average hrs. per wk.

______________________

Supervisor Name

Phone Number

Reason for Leaving

May we contact?

Yes

From ____/____

Salary or Hourly

Employer – Name, Address, Type of Business

(i.e. retail, restaurant, accounting)

Month

Year

Starting $_________

____/____

Ending $_________

Month

Year

Position

Duties Performed

Average hrs. per wk.

______________________

Supervisor Name

Phone Number

Reason for Leaving

May we contact?

Yes

From ____/____

Salary or Hourly

Employer – Name, Address, Type of Business

(i.e. retail, restaurant, accounting)

Month

Year

Starting $_________

____/____

Ending $_________

Month

Year

Position

Duties Performed

Average hrs. per wk.

______________________

Supervisor Name

Phone Number

Reason for Leaving

May we contact?

Yes

UNITED STATES MILITARY SERVICE

Have you served in

Year of Service:

Branch:

the U.S. Military?

Yes

Rank:

Skills/duties:

QUESTIONS

1. Have you ever visited a rue21 location? Where? When? Describe your experience. ____________________________________________

_________________________________________________________________________________________________________________

2. What do you like about clothing/fashion? _____________________________________________________________________________

_________________________________________________________________________________________________________________

3. Why would you like to work for rue21? ______________________________________________________________________________

_________________________________________________________________________________________________________________

REFERENCES

How do you

Year

Name

Area Code & Phone Number

Current Position

know this person?

Acquainted

I certify that the information provided in this Application is complete, accurate and true in all respects. I hereby authorize rue21, inc. by and through its agents to

thoroughly investigate all representations made by me in the Application, including but not limited to conducting a background check into my background,

references, driving record, criminal record, employment record and other matters related to my suitability for employment. In connection therewith, I agree to

sign and return with this application a Consent to Obtain Consumer Report and Criminal Background Information in the form provided by rue21 with this

Application. I authorize any persons, schools, my current employer (if applicable), and previous employers and organizations contacted by rue21 to provide any

relevant information regarding my current and/or previous employment and I release all persons, schools, employers from any and all claims resulting from

providing such information. I understand that my misrepresentation or omission of facts may result in the rejection of this application, or if hired, discipline up to

and including dismissal. I further understand that this Application is not a contract and does not create an employment relationship.

Date_______________________________________ Signature of Applicant: __________________________________________________