Rue21 Application Form For Employment printable pdf download

APPLICATION 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. Please provide only the requested information below. We reserve the

right to reject any application that contains information beyond that which is specifically requested. 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.

Do you have any relatives currently employed by rue21? No Yes – Name of relative:

Relationship:

Have you ever been discharged from a job?

In select jurisdictions employers are prohibited from making written, pre-employment inquiries of an applicant about his

or her criminal history. APPLICANTS IN THE FOLLOWING LOCATIONS SHOULD NOT RESPOND TO ANY OF THE

No Yes – Please explain below:

QUESTIONS SEEKING CRIMINAL RECORD INFORMATION: Massachusetts; Hawaii; Rhode Island; Minnesota;

Newark, NJ; Buffalo, NY; Seattle, WA; Philadelphia, PA.

________________________________________________

_________________________________________________________________

________________________________________________

Have you ever been convicted of a crime other than minor traffic violations or

________________________________________________

misdemeanor convictions for which probation was completed?

________________________________________________

Note: A conviction will not necessarily disqualify you from employment.

________________________________________________

No Yes –

Please list the nature of the crime(s), date, place of conviction and legal disposition of the case.

________________________________________________

_________________________________________________________________

________________________________________________

_________________________________________________________________

________________________________________________

_________________________________________________________________

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:______________________

 FT or  PT

Have you ever worked for or applied for a position

Current Salary:

At which rue21 location

with rue21 before?

$______________________

are you seeking

___________________________

_____

employment?

No

Yes

Desired Salary:

City

State

When? ______________________________

$______________________

Are you able to work overtime? No

Yes

Which location? _______________________

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Days/hours

available to work:

I certify that the information provided in this Application (front and back) 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 and 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.

For rue21 Use Only

Applicant Signature _______________________________________________ Date______________

Store # (if applicable) ______________

Location Name____________________

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