Aeropostale Employment Application Form Page 2

ADDITIONAL EMPLOYMENT HISTORY INQUIRIES

Have you ever been dismissed or forced to resign from any employment? If yes, please explain:

Yes

No

Have you ever been convicted of a crime? If yes, please explain:

Yes

No

PERMISSION TO WORK

If employment is offered, can you submit verification of your legal right to work in the U.S.?

Yes

No

REFERRAL SOURCE

Walk In

Newspaper Ad

Employee Referral (Name)_________________________________________

Other (Please List) _______________________________________________________

Community Organization

School/College (Name) ______________________________________________

REFERENCES

Reference (not related to you)

Reference (not related to you)

Address

Street

City

State

Zip

Address

Street

City

State

Zip

Phone

Job Title

Phone

Job Title

How acquainted and for how long?

How acquainted and for how long?

A good attendance record is an important part of every associate’s performance. Do you know of any reason you may not be able to comply with Aéropostale’s attendance policy? If so, please explain:

IMPORTANT (PLEASE READ CAREFULLY BEFORE SIGNING)

I certify that the answers I have given in this application are true and accurate to the best of my knowledge and I understand that any false or misleading answers or any omission or concealment of fact will disqualify me from con-

sideration for employment or will be grounds for my immediate discharge.

In making this application for employment, I understand that an investigative consumer report may be prepared which may include information as to my character, general reputation, personal characteristics and mode of living,

obtained through personal interviews with neighbors, friends and associates. In addition, information may be obtained from former employers and educational institutions which I have attended. A credit bureau report may also be

obtained as part of this application and later for purposes of promotion, reassignment or retention. I hereby authorize my former employers, educational institutions, credit bureaus, references, neighbors and friends to disclose to you

any and all information concerning my previous employment and any other pertinent information they may have, personal or otherwise, and I release all parties from any liability whatsoever resulting from such disclosure. I understand

that should such investigation reveal any false statements made by me or other derogatory information, I may be disqualified from employment or subsequently dismissed. I understand that I have the right to make a written request

within a reasonable period of time from the date of this application for a complete and accurate disclosure of the nature and scope of the investigative report requested. I further understand that, if I am hired, subsequent consumer

reports may be requested without additional notice to me, in connection with the continuation of my employment. Information received by us from another company or person concerning your experiences with that company or person

may be shared at any time by us with our affiliates. In addition, we may share with our affiliates other types of information. Including information obtained from consumer reporting agencies, and, if you do not want us to share this

information, you need to send or give us a written direction not to communicate this information at:

Aéropostale

112 West 34th Street

New York, NY 10120

I agree to conform to the rules of the Company, and if employed, I understand and agree that my employment is at will and no employment contract rights have been created. I also understand and agree that my employment may be

terminated at any time with or without cause, and without advance notice at the option of either the Company or myself. I also understand that no supervisor, manager or other representative of the Company has any authority to enter

into any express or implied contract for employment for any specific period of time. Any agreement contrary to the above, must be in writing and must expressly state that it is a contract to be signed by the Senior Vice President for

Human Resources of Aéropostale.

I understand that any offer or employment is conditioned upon the satisfactory completion of the verification process as required by the Immigration Reform and Control Act of 1986, and that the Company will hire only those individ-

uals who are legally authorized to work in the United States and who present acceptable proof of their lawful employment status and identity.

By placing my signature below, I certify and acknowledge that I have read the above, and agree to it.

I certify and acknowledge that I have read the above and understand it.

Signature of applicant (do not print)

Date

APPLICANTS IN THE STATE OF MARYLAND ONLY

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

employment. Any employer who violates this provision is guilty of a misdemeanor and subject to a fine not to exceed $100.

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. An employer who violates this law shall be subject to criminal penalties and civil liability.

Signature

Date

HR120 FEB-08