Fillable Printable Bath And Body Works Application Form
Fillable Printable Bath And Body Works Application Form
Bath And Body Works Application Form
EMPLOYMENT APPLICATION
An equal opportunity employer, Bath & Body Works does not
discriminate in hiring or terms and conditions of employment
because of an individual’s race, color, religion, gender, gender identity,
national origin, citizenship, age, disability, sexual orientation, marital
status or any other protected category recognized by state, federal
or local laws. Bath & Body Works only hires individuals autho-
rized for employment in the United States.
Position Desired:
Schedule Desired: o Full Time o Part Time
o Temporary/Seasonal
Salary/Wage Expected:$ per
/ /
Date of Application
Date Available:
/ /
Each inquiry on this application must be fully answered or completed. Otherwise, you will not be considered for employment.
PERSONAL INFORMATION
Last Name
First Name
Middle Name
Are you authorized for
employment in the U.S.?
o Yes o No
Present Street Address
City
State
Zip
How long have you lived there?
Yrs. Mos.
Previous Street Address
City
State
Zip
How long did you live there?
Yrs. Mos.
Home Phone Number (including Area Code)
Email Address
Are you under the age of 18?
o Yes o No
EDUCATION
Type of School
Name and Location of School
Degree/Area of Study
Number of Years
Attended
Graduated
(Check One)
HIGH SCHOOL
Name
o Yes o No
City State
COLLEGE
Name
o Yes o No
City State
OTHER
Name
o Yes o No
City State
EMPLOYMENT HISTORY
List employment starting with your most recent position. Account for any time during this period that you were unemployed by
employment, include personal references to be contacted. May we contact your current employer?
o
Yes
o
No
stating the nature of your activities. If you have less than four places of
Dates
Name and Address of Employer
Position Held and Supervisor
List Major Duties
Wages
Reason for Leaving
From:
/
Name
Your Job Title
Starting
Mo. Yr.
Address
To:
/
Final
Phone
Supervisor
Mo. Yr.
From:
/
Name
Your Job Title
Starting
Mo. Yr.
Address
To:
/
Final
Phone
Supervisor
Mo. Yr.
From:
/
Name
Your Job Title
Starting
Mo. Yr.
Address
To:
/
Final
Mo. Yr.
Phone
Supervisor
From:
/
Name
Your Job Title
Starting
Mo. Yr.
Address
To:
/
Final
Phone
Supervisor
Mo. Yr.
Have you ever been discharged or asked to resign from a job(s)?
o
Yes
o
No If yes, please provide details, including place(s) of employment, location(s), date(s),
supervisor’s name(s), and circumstances of the discharge(s) or resignation(s):
REV 9/15
ACADEMIC AND PROFESSIONAL ACTIVITIES AND ACHIEVEMENTS
Academic and Professional Activities and Achievements, Awards, Publications or Technical-Professional Societies, indicate type or name. Exclude organizations which indicate race, color, gender,
sexual orientation, gender identity, age, religion, disability, marital status, citizenship, national origin or any other protected category recognized by state, federal or local laws of its members.
SPECIAL SKILLS
Other skills applicable to position applied for (e.g. computer proficiency)
What languages do you speak fluently?
MISCELLANEOUS
Is there any additional information involving a change of your name or assumed name that will permit us to check your work record?
Have you previously been employed by any L Brands, Inc. Division?
o Yes o No
Employment Date(s)
Division(s) Employed
Position(s) Held
List names of any person you know now employed by any L Brands, Inc. Division:
At Bath & Body Works a good attendance record is an important part of every associate’s overall performance. Do you know of any reason you may not be able to comply with Bath & Body Works’
attendance policy?
PERSON TO CONTACT IN CASE OF EMERGENCY
This information is to facilitate contact in the event of any emergency and is not used in the selection process.
Full Name
Address
Phone
AVAILABILITY
SUN
MON
TUE
WED
THUR
FRI
SAT
AM
PM
Start date: End date: Min. # hours available weekly: Max. # hours available weekly:
Available start date:
Will you be available to work: Thanksgiving (week) o Yes o No Christmas (week prior) o Yes oNo
Christmas (week of) o Yes o No Other
PLEASE READ THIS STATEMENT CAREFULLY
I hereby affirm that the information given by me on the application for employment is complete and accurate. I understand that any falsification or omission either on this application, or otherwise
providing false information to the Company will be immediate grounds for dismissal, no matter when the falsification or omission is discovered. I authorize a thorough investigation to be made in
connection with this application concerning my character, general reputation, personal characteristics, employment, education, and criminal record, whichever may be applicable for employment
purposes. I understand this investigation may include personal interviews with third parties such as family members, business associates, financial sources, friends, neighbors, and others with whom I
am acquainted. I further understand I have the right to make a written request within a reasonable period of time for complete and accurate disclosure of the nature and scope of the investigation.
It is my understanding that as a prerequisite to consideration for employment, I must agree to submit to any post-employment examinations, physical or other, as the Company may lawfully require.
The Company will pay the reasonable cost of any such examination which may be required.
If I am hired, I agree that my employment and compensation can be terminated with or without cause, and without notice at any time, at the option of Bath & Body Works or myself. I understand that,
unless modified in written agreement signed by both me and the Vice President of Human Resources or the President of Bath & Body Works, no representative of Bath & Body Works has the authority to
make any agreement for employment for a specified time or to make any other agreement contrary to the foregoing.
I have read and affirm as my own the above statements.
Applicant’s Signature Date
APPLICANTS IN THE STATE OF MARYLAND ONLY
Under Maryland law an employer may not require or demand any applicant for employment or any employee to submit to or take a polygraph, lie detector or similar test or examination as a condition of
employment or continued employment. Any employer who violates this law shall be subject to criminal penalties and civil liability.
Applicant’s 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 or continued employment. Any employer who violates this law shall be subject to criminal penalties
and civilliability.
Applicant’s Signature
Date
APPLICANTS IN THE STATE OF CONNECTICUT ONLY
I agree to be scheduled for less than four (4) hours of work on any given day at Bath & Body Works, provided the minimum daily pay in every instance shall be at least twice the applicable minimum
hourly rate.
Applicant’s Signature
Date
CONSUMER REPORT DISCLOSURE
DISCLOSURE OF INTENT TO OBTAIN CONSUMER
REPORTS
In compliance with the Fair Credit Reporting Act (FCRA), Bath & Body Works discloses
that it may obtain consumer reports on you to be used for employment purposes, including in
connection with your employment application, from a Consumer Reporting Agency. Consumer
reports include record checks conducted by consumer reporting agencies and may include
driving records, criminal records, general reputation, etc.
AUTHORIZATION
I authorize Bath & Body Works to obtain consumer reports for employment purposes, consistent
with applicable law, at any time during my employment.
Signature: Date:
Print name:
ADDITIONAL AUTHORIZATION AND DISCLOSURE
California, Minnesota, and Oklahoma Applicants: If you wish to receive a free copy of any consumer
report obtained, please indicate by checking this box
Minnesota Applicants: You may make a written request to the consumer reporting agency for
information on the nature and scope of a consumer report prepared from General Information Services,
P.O. Box 353, Chapin South Carolina, 29036, 1-866-265-4917, www.geninfo.com; and or RefCheck
Information Services, Inc., 3962 Brown Park Drive, Suite I, Hilliard, Ohio 43026, 1-800-510-4010, ext.
12, www.refcheck.com.
New York Applicants: Upon your request, you will be informed whether or not a consumer report was
requested, and if such a report was requested, the name and address of the consumer reporting
agency furnishing the report. Your written request should be made to General Information Services,
P.O.
Box 353, Chapin, South Carolina 29036, 1-866-265-4917, www.geninfo.com; and or RefCheck
Information Services, Inc., 3962 Brown Park Drive, Suite I, Hilliard, Ohio 43026, 1-800-510-4010, ext.
12, www.refcheck.com.You may also contact the Company at Seven Limited Parkway East,
Reynoldsburg, Ohio 43068, 1-614-856-6000.
IF YOU WANT A COPY OF YOUR REPORT, PLEASE FILL OUT ADDRESS, CITY, STATE AND ZIP:
STREET ADDRESS:
CITY: STATE: ZIP:
REFERENCE FORM
Date:
Candidate’s Name:
Phone:
If you are a former L Brands Associate, please verify the last four digits of your social security number:
Please list three business references:
• Two from a previous employer
• One from a peer (co-worker)
Name:
Relationship:
Company:
Position:
Address:
Work Phone: Cell Phone:
Home Phone: Length of time known?
Name:
Relationship:
Company:
Position:
Address:
Work Phone: Cell Phone:
Home Phone: Length of time known?
Name:
Relationship:
Company:
Position:
Address:
Work Phone: Cell Phone:
Home Phone: Length of time known?
Supervisor 1
Supervisor 2
Peer
