Aeropostale Employment Application Form (Page 2 of 2) in pdf

ADDITIONAL EMPLOYMENT HISTORY INQUIRIES

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

Yes

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

Yes

PERMISSION TO WORK

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

Yes

REFERRAL SOURCE

Walk In

Newspaper Ad

Employee Referral (Name)_________________________________________

Other (Please List) _______________________________________________________

Community Organization

School/College (Name) ______________________________________________

REFERENCES

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?

A good attendance record is part of overall performance. Are you able to comply with the attendance requirements of the position? If no, describe the attendance requirements you can not meet.

IMPORTANT: PLEASE READ CAREFULLY AND INITIAL EACH PARAGRAPH

"I declare that the facts contained in this application or any resume or other documentation submitted are true and complete to the best of my knowledge. I understand that any false information

or significant omissions will disqualify me from further consideration for employment, and may result in my dismissal from employment if discovered at a later date."

____________ initials

"I authorize the company to contact and obtain information from all references, employers and educational institutions, and to otherwise verify the accuracy of the information contained in this application,

and I authorize the release of this information."

____________ initials

"I understand that any offer of employment may be conditioned upon the satisfactory results of a background investigation, a physical examination and my passing a drug/alcohol screening."

____________ initials

"I understand that, if hired, I will be required to provide proof of identity and legal work authorization."

____________ initials

"I understand that, if hired, I may not hold other employment or engage in other activities that create a conflict of interest with my position in the company."

____________ initials

"If I become employed, and in consideration of my employment, I agree to comply with the rules, regulations, policies and procedures of the company."

____________ initials

AGREEMENT FOR AT-WILL EMPLOYMENT

"If I become employed, and in consideration of my employment, I agree that my employment will be at-will, and may be terminated with or without cause, and with or without advance notice,

at any time at the option of myself or the company. Only the senior vp of human resources of the company has the authority to enter into an employment agreement for a specified period of time

or for termination only for cause, and any such agreement must be in writing and signed by the senior vp of human resources of the company. I understand and acknowledge that this constitutes

the entire agreement between me and the company regarding the term of my employment and supersedes any other oral or written agreements."

____________ initials

Signature of applicant (do not print)

Date

HR124 FEB-08