Tuxedo Den: Quality - Selection - Value

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To apply for employment at Tuxedo Den, please fill out the following information. All bold lines must be filled out. Italicized sections are optional. You must choose a location to apply too on the bottom of this application before you submit your information.

First Name

Middle Initial

Last Name

Address		Apt/Space

E-mail
City	State Zip Code
Phone	Cell Phone

Position applying for

Have you applied to or worked for Tuxedo Den before?

If yes, when If yes, at what store

Do you have any friends or relatives working for Tuxedo Den?

If yes, store and names

store employee name

Why are you applying for work at Tuxedo Den?

If hired, would you have transportation to and from work?

Are you at least 18 years old?

(If under 18, hire is subject to verification that you are of minimum legal age)

If hired, can you present evidence of your U.S. Citizenship or proof of your legal right to live and work in this country?

Are you able to perform the essential functions of the job for which you are applying, either with or without reasonable accommodations?

If no, describe the functions that cannot be performed?

Have you ever been convicted of a criminal offense (felony or serious misdemeanor)? (Convictions for marijuana-related offenses that are more then two years old need not be listed)

EDUCATION, TRAINING AND EXPERIENCE

High School		Number of years complete
City		Did you Graduate?
		Degree or Diploma
College		Number of years complete
City		Did you Graduate?
		Degree or Diploma
Vocational		Number of years complete
City		Did you Graduate?
		Degree or Diploma

EMPLOYMENT HISTORY

List below all present and past employment starting with your most recent employer (last five years is sufficient). Account for all periods of unemployment.

Employment 1
Employer		Phone
Business Type		Supervisor
Address

City	State Zip Code
Dates of Employment to Hourly Pay $
Your Position
Your Duties

Reason for leaving

May we contact this employer for references?
Employment 2
Employer		Phone
Business Type		Supervisor
Address

City	State Zip Code
Dates of Employment to Hourly Pay $
Your Position
Your Duties

Reason for leaving

May we contact this employer for references?
Employment 3
Employer		Phone
Business Type		Supervisor
Address

City	State Zip Code
Dates of Employment to Hourly Pay $
Your Position
Your Duties

Reason for leaving

May we contact this employer for references?

REFERENCES
List below three persons not related to you who have knowledge of your work performance within the last three years.
REFERENCE 1
Name		Phone
Occupation		Years known
Address

City	State Zip Code
REFERENCE 2
Name		Phone
Occupation		Years known
Address

City	State Zip Code
REFERENCE 3
Name		Phone
Occupation		Years known
Address

City	State Zip Code

Please read carefully, check each paragraph acknowledge at the bottom.

	I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this online application. I understand that any omission or misstatement of material fact on this application used to secure employment shall be grounds for rejection of this application or the immediate discharge if I am employed, regardless of the time elapsed before discovery.
	I hereby authorize the company to thoroughly investigate my references, work record, education and other matters related to my suitability for employment and, further, authorize the references I have listed to disclose to the company any and all letters, reports and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release the company, my former employers and all other persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure.
	I understand that nothing contained in the application, or conveyed during any interviews which may be granted or during my employment, if hired, is intended to create an employment contract between me and the company. In addition, I understand and agree that if I am employed, my employment is for no definite or determined period and may be terminated at any time, with or without prior notice, at the option of either myself or the company, and that no promises or presentations contrary to the foregoing are binding on the company unless made in writing and signed by me and the company designated representative.

ONLINE SIGNATURE

Tuxedo Den views your submission of this application as a signed document, in which all agreements and statements above are agreed to and all information is agreed upon.

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