Fillable Printable Rue 21 Job Application Form
Fillable Printable Rue 21 Job Application Form
Rue 21 Job Application Form
APPLICATION FOR EMPLOYMENT
rue21 is an equal opportunity employer dedicated to non-discrimination in employment. rue21 selects the best qualified individual for the job based on job-related
qualifications regardless of race, color, age, sex, religion, national origin, mental or physical disability, ancestry, marital status, veteran statusor any other status
protected by applicable law. All statements by applicants for employment on the application will be carefully checked for accuracy. The use of this form does not mean
there are positions open and does not obligate us in any way.
PERSONAL INFORMATION
Name (Last)
(First)
(M.I.)
Date of Application
Present Address
City
State
Zip Code
Permanent Address
City
State
Zip Code
Phone Numbers
Home: Cell:
Email Address
Are you at least 16 years of age? No Yes
If below the age of 18, may be required to provide verification of permission to work.
Are you eligible to work in the Un ited States? No Yes
All hires will be required to provide proof of eligibility to work in the United States.
Have you ever been discharged from a job?
No
Yes – please explain: ________ ____________________
________________________________________________
________________________________________________
________________________________________________
________________________________________________
Have you ever been convicted of a crime other than minor traffic violations or
misdemeanor convictions for which probation was completed?
No
Yes – Please list the nature of the crime(s), the date & place of conviction
and the legal dispositio n of the case.
____________________________________________________________
____________________________________________________________
A conviction will not necessarily disqualify you from employment.
Do you have any relatives currently employed by rue21? No Yes – Name of relative: Relationship:
Have you interviewed by phone or in person with rue21 before? No Yes – Position: Location:
EMPLOYMENT DESIRED
Position applying for (check all that apply, indicating part-time or full-time when applicable):
Store Manager Assistant Manager Sales Associate Stock Associate Seasonal Associate Other:___ ___________
PT or FT PT or FT
___________________________
_____
Which rue21 location
are you seeking
employment?
City State
Are you able to work overtime?No Yes
Have you ever worked for rue21 before?
No
Yes – When? __________________________
Which location? __________________
Current Salary:
$______________________
Desired Salary:
$______________________
Days/ hours
available to
work:
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
How did you hear about us:
Newspaper Careerbuilder rue21.com Friend Job Fair rue21 employee: _________________ Other: _________________
EDUCATION
Name and Address of School
Circle Last
Year Completed
Did You
Graduate?
Subjects Studied/
Degrees Received
High School
1 2 3 4 Y N
College
1 2 3 4 Y N
Graduate School
1 2 3 4 Y N
Trade, Business or
Correspondence School
1 2 3 4 Y N
Please list any other qualifications/training you have for this position:________________________________________________
______________________________________________________________________________________________
PR-2 PLEASE CONTINUE ON BACK PAGE
WORK HISTORY
From ____/____
Month Year
To ____/____
Month Year
Employer – Name, Address, Type of Business (i.e. retail, restaurant, accounting)
Salary or Hourly
Starting $_________
Ending $_____ ____
Position
Duties Performed
Average hrs. per wk.
______________________
Current Employer
Supervisor Name Phone Number Reason for Leaving May we contact?
No Yes
From ____/____
Month Year
To ____/____
Month Year
Employer – Name, Address, Type of Business (i.e. retail, restaurant, accounting)
Salary or Hourly
Starting $_________
Ending $_____ ____
Position
Duties Performed
Average hrs. per wk.
______________________
Previous Employer
Supervisor Name Phone Number Reason for Leaving May we contact?
No Yes
From ____/____
Month Year
To ____/____
Month Year
Employer – Name, Address, Type of Business (i.e. retail, restaurant, accounting)
Salary or Hourly
Starting $_________
Ending $_____ ____
Position
Duties Performed
Average hrs. per wk.
______________________
\Previous Employer
Supervisor Name Phone Number Reason for Leaving May we contact?
No Yes
From ____/____
Month Year
To ____/____
Month Year
Employer – Name, Address, Type of Business (i.e. retail, restaurant, accounting)
Salary or Hourly
Starting $_________
Ending $_____ ____
Position
Duties Performed
Average hrs. per wk.
______________________
Previous Employer
Supervisor Name Phone Number Reason for Leaving May we contact?
No Yes
UNITED STATES MILITARY SERVICE
Year of Service: Branch: Have you served in
the U.S. Military?
No
Yes
Rank: Skills/duties:
QUESTIONS
1. Have you ever visited a rue21 location? Where? When? Describe your experience. ____________________________________________
_________________________________________________________________________________________________________________
2. What do you like about clothing/fashion? ______________________________________ _______________________________________
_________________________________________________________________________________________________________________
3. Why would you like to work for rue21? ______________________________________________________________________________
_________________________________________________________________________________________________________________
REFERENCES
Name Area Code & Phone Number Current Position
How do you
know this person?
Year
Acquainted
1
2
3
4
I certify that the information provided in this Application is complete, accurate and true in all respects. I hereby authorize rue21, inc. by and through its agents to
thoroughly investigate all representations made by me in the Application, including but not limited to conducting a background check into my background,
references, driving record, criminal record, employ ment record and other matters related to my suitability for employment. In connection therewith, I agree to
sign and return with this application a Consent to Obtain Consum er Report and Criminal Background Information in the form provi ded by rue21 with this
Application. I authorize any persons, schools, my current employer (if applicable), and previous employers and organizations contacted by rue21 to provide any
relevant information regarding my current and/or previous employment and I release all persons, schools, employers from any and all claims resulting from
providing such information. I understand that my misrepresentation or omission of facts may result in the rejection of this application, or if hired, discipline up to
and including dismissal. I further understand that this Application is not a contract and does not create an employment relationship.
Date_______________________________________ Signature of Applicant: __________________________________________________
