Fillable Printable Foot Locker Employment Application Form

Foot Locker Employment Application Form

EmploymentApplication

An Equal Opportunit y Emplo yer Revised 11/2010

SKU# 01-00108-1-00

*Pleaseprintinink/

ApplyingWith:FootLockerLadyFootLockerKidsFootLockerChampsSportsCCSFootaction

Footlocker.com/EastbayTeamEdition

PositionApplyingFor:

TypeofWork:Full‐TimePart‐TimeSeasonalAny



Name(Last,First,Middle): DateAvailable:

E‐mail: Phone#: Mobile#:

CompletePermanentAddress:

AreyoueitheracitizenoftheUSAoranon‐citizenwithaVisaauthorizingyoutoworkintheUSA?YesNo

Areyou18yearsofageorolder?YesNo Ifno,dateofbirth†:

†Youmustbe16tobeemployedbytheCompany.

Ifyouareunder18,youmaybeaskedtoprovideaworkpermitpriortostarting.

Severalpositionshaveafluctuatingworkweek.Whathoursofthe dayareyouavailable?(Checkallthatapply)

MondayAM TuesdayAM WednesdayAM ThursdayAM FridayAM SaturdayAM SundayAM

MondayPM TuesdayPM WednesdayPM ThursdayPM FridayPM SaturdayPM SundayPM



Areyouavailabletorelocateifrequiredfortraining?YesNo MinimumSalaryRequirement:$HourlyWeekly

MonthlyYearly

HaveyoueverbeenemployedbyFootLockeroranyofitsdivisions?YesNo

Ifyes,whichdivision,andlastlocationworked?

Ifyes,providedatesofservice(From/To):

Reasonforleaving:



Haveyoueverbeenconvictedofa felonyoratheft‐relatedmisdemeanor?** YesNo

**DonotanswerintheStateofHawaiiorintheCommonwealthofMassachusetts,

Thisquestionneednotbeansweredintheaffirmativeiftheconvictionhasbeensealedorexpungedbyacourtoflaw.Noapplicantwillbedeniedemploymentsolelyonthegroundsofconvictionfora

offense.Thenatureoftheoffense,thesurroundingcircumstancesandtherelevanceoftheoffensetothepositionforwhichyouareapplyingwillbeconsidered.

Ifyes,givedetails.





WhatlanguagesdoyouspeakotherthanEnglish:



EmploymentHistory–Beginwithmostrecentemployerandaccountfor yourlastfouremployers

PreviousWorkExperience?

No,thisismyfirstjobYes,Ihavepreviousworkexperience



Employer: JobTitle:DatesEmployed(From/To):

Address: Phone#:

ReasonforLeaving: HourlyRate/Salary(Starting/Ending):

ImmediateSupervisorandTitle: 

Maywecontactforreference?

YesNo

Summarizethetypeofworkperformedandjobresponsibilities:



Isthisyourcurrentemployer?YesNo



Employer: JobTitle:DatesEmployed(From/To):

Address: Phone#:

ReasonforLeaving: HourlyRate/Salary(Starting/Ending):

ImmediateSupervisorandTitle: 

Maywecontactforreference?

YesNo

Summarizethetypeofworkperformedandjobresponsibilities:



‐Continueonbackpage‐



Employer: JobTitle:DatesEmployed(From/To):

Address: Phone#:

ReasonforLeaving: HourlyRate/Salary(Starting/Ending):

ImmediateSupervisorandTitle: 

Maywecontactforreference?

YesNo

Summarizethetypeofworkperformedandjobresponsibilities:



Employer: JobTitle:DatesEmployed(From/To):

Address: Phone#:

ReasonforLeaving: HourlyRate/Salary(Starting/Ending):

ImmediateSupervisorandTitle: 

Maywecontactforreference?

YesNo

Summarizethetypeofworkperformedandjobresponsibilities:



EducationBackground

SchoolName

#Years

Attended

City,ST SchoolType

Didyou

Graduate?

Degree(s)/Diploma(s)

Earned

TypeofCourse





Yes

No







Yes

No







Yes

No



Skills:Describeanyspecializedjob‐relatedtrainingand/orapprenticeshipprogramsyouhavecompleted,oradditionalskillsyouhaveacquiredthatcanassist

youinperformingthejobforwhichyouareapplying:



References–Pleaseprovidetwobusinessreferences

Name Relationship

Years

Known

Phone# E‐mail





Othername(s)usedinworkhistory: Howdidyouhearaboutus?



IunderstandthattheCompany’spolicyisthatallapplicantsforemploymentarejudgedonthebasisofqualificationsandabilitywithoutregardtoage,gender,

race,religion,color,sexualorientation,nationalorigin,maritalstatusordisability.



Icertifythat thefactscontainedinthisapplicationaretrueandcompletetothebestofmyknowledgeandunderstandthat,ifemployed,falsestatementson

thisapplicationshallbegroundsforimmediatedismissal.



IauthorizeinvestigationofallstatementscontainedhereinandthereferenceslistedtogivetheCompanyanyandallinformationconcerningmyprevious

employmentandanypertinentinformationformeremployersmayhave,personalorotherwise,andreleaseallpartiesfromallliabilityforanydamagethatmay

resultfromfurnishingsame

totheCompany.



Iunderstandandagreethat,ifhired,myemploymentis atwillandmaybeterminatedbymeortheCompanyatanytimewithoutanypriornotice.



IacknowledgetheCompany'snotificationtomeasrequiredbytheFairCreditReportingActof1970thataninvestigativeconsumerreportmaybemade

regardingme,includinginformationonmycharacter,generalreputation,personalcharacteristicsandmodeofliving.



TheCompanyisherebyauthorizedtofullyinvestigatemycriminalhistory,workrecordsandqualificationseitherbeforeoraftermyemployment.ShouldIhave

acriminalconvictionorapendingchargeinvolvingabreach oftrustordishonestact,IunderstandthattheCompanymay,initsdiscretion,suspendorterminate



myemployment.



IunderstandmyemploymentwiththeCompanyisconditioneduponverificationthatIamaUScitizenoralienauthorizedtoworkincompliancewiththe

ImmigrationReformandControlActof1986,asitmaybeamendedfromtimetotime,andregulationspromulgatedthereunder.



Applicant’sSignature:



Date: