Fillable Printable Old Navy Application Form

Old Navy Application Form

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Reason For Leaving Dates of Employment

Start: Month Year End: Month Year

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Reason For Leaving Dates of Employment

Start: Month Year End: Month Year

EMPLOYMENT INFORMATION

GAP INC. GAP BANANA REPUBLIC OLD NAVY

An Equal Opportunity Employer

Position Desired

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Are you at least 18 years old?

Yes

Are you at least 16 years old?

Yes

Please indicate the hours you are available to work during both day and

evening (i.e., 2–4 p.m., 6 –10 p.m.)

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Street Address

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Email Address

If you have worked for our company before (Gap, Banana Republic, Old Navy, Outlet, Factory Stores),

state where, when, final position, and reason for leaving.

Have you ever applied to our company before? If yes, where?

If you are under 18, you may be required

to provide a work permit prior to working.

Full-time

30 – 40 hrs. per week

Part-time

0 –29 hrs. per week

Seasonal

Holiday/Summer

Note: Should your availability change, it is your responsibility to notify your supervisor

Do you have any relatives now employed by our company?

If yes, identify by name(s), position and location:

Work Experience. List your previous experience, beginning with your current or most recent position.

General Information. Please complete all requested information. Use ink and print.

S M T W

Employer Starting Position Starting Salary

Street Address City State Zip Most Recent Position Most Recent Salary

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Reason For Leaving Dates of Employment

Start: Month Year End: Month Year

I am interested in:

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Phone Email Job Title How Acquainted and For How Long

References. Individuals not related to you. Business references preferred.

Reference Street Address City State

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Phone Email Job Title How Acquainted and For How Long

Telephone (Home) Telephone (Cell)

School Address (include city & state) Number of Years Completed Degree Type of Course/Major

College

High School

Additional Training

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For office positions, indicate the job skills which you have performed: Typing _________WPM 10-key By Touch By Sight (Circle One)

Computer/Software

Other

Have you ever been dismissed or forced to resign from any employment? Yes No

If yes, please explain:

Have you been convicted of a felony crime or theft-related misdemeanor within the last 7 years that has not been Yes No

expunged, sealed, impounded or annulled?

If yes, state details: Convictions will not necessarily disqualify applicant; each case is considered individually.

Additional Employment History Inquiries

Permission to Work

Are you legally authorized to work in the United States? Yes No

Will you now or in the future require sponsorship for employment visa status (e.g., H1-B status)? Yes No

Referral Source

Walk-in Applicant Newspaper Ad Employee Referral (Name) __________________________________________________________

Community Organization (Name) _________________________________________ School/College ___________________________________

Website (Name) ______________________ Other (Please List) _________________________________________________________________

Applicant’s Statement

If I am employed, I agree to abide by the rules and regulations of the Company. I understand that my employment is at-will. This means that I do not have a contract of employment

for any particular duration or limiting the grounds for my termination in any way. I am free to resign at any time. Similarly, Gap Inc. is free to terminate my employment at any time for

any reason. I understand that while personnel policies, programs and procedures may exist and be changed from time to time, the only time my at-will status could be changed is if

I were to enter into an express written contract with Gap Inc. explicitly promising me job security, containing the words “this is an express contract of employment” and signed by

an officer of Gap Inc. The above language contains our entire agreement about my at-will status and supercedes any past, future, or oral side agreements.

All of the information I have supplied in this application is a true and complete statement of the facts, and if employed, any false statement or omission could result in immediate dismissal.

I understand that Gap may share the information contained in this application with other Gap employees for employment and administrative purposes and hereby consent to such

transfer. I authorize you to contact my references, as well as current and previous employers, to obtain information on my work history and qualifications for employment.

Signature Date

This application will only be considered for three months. If you have not been hired within three months of filling out this application and you wish to continue to be considered for employment, you must fill out another application.

NOTICE TO APPLICANTS IN MARYLAND: UNDER MARYLAND LAW, AN EMPLOYER MAY NOT REQUIRE OR DEMAND THAT AN INDIVIDUAL TAKE A LIE DETECTOR OR SIMILAR TEST AS A CONDITION

OF EMPLOYMENT OR CONTINUED EMPLOYMENT. AN EMPLOYER WHO VIOLATES THIS LAW IS GUILTY OF A MISDEMEANOR AND SUBJECT TO A FINE NOT EXCEEDING $100.

NOTICE TO APPLICANTS IN MASSACHUSETTS: IT IS UNLAWFUL IN MASSACHUSETTS TO REQUIRE OR ADMINISTER A LIE DETECTOR TEST AS A CONDITION OF EMPLOYMENT OR CONTINUED

EMPLOYMENT. AN EMPLOYER WHO VIOLATES THIS LAW SHALL BE SUBJECT TO CRIMINAL PENALTIES AND CIVIL LIABILITY.

Education & Training: Please include name, street, city, state and zip code for each school.

Additional Questions

Why are you interested in working for our company?

What strengths would you bring to our company?

What didn’t you like about your previous jobs?

(In Hawaii only: Do not answer this question. In California only: Do not answer yes if you were referred to or participated in a

diversion program, or if your conviction was solely for a marijuana-related offense more than two years old.)