Fillable Printable Shoe Carnival Application Form
Fillable Printable Shoe Carnival Application Form
Shoe Carnival Application Form
APPLICATION)FOR)EMPLOYMENT)
Please&complete&all&portions&of&this&application&in&its&entirety.&The&submittal&of&
a&resume&does¬&replace&the&need&to&complete&this&application.&
This&application&will&remain&active&for&90&days&only.&
&
Position&Desired& & & & & & & & & Date& & & & &
Last&Name&&& & & & First&Name&& & & & Middle&Name& & & & &
Address&& & & & & & City& & & & State& & Zip&& & &
Home&Phone& & & &&&&&&&&&Cell&Phone&& & & Email& & & & & & &
NOTICE&TO&ALL&APPLICANTS&
Federal&Law&prohibits&the&employment&of&unauthorized&aliens.&All&hired&persons&must&submit&satisfactory&proof&of&employment&and&
identify&wit h in &th ree &(3 )&d a ys &o f&b e in g&h ire d .&F ailu re &to &s u b m it&s u ch &p ro o f &w ith in &th e &re q u ire d &time&period&w ill&r es ult &in &im mediate&
termination.&Any&offe r&of&em plo ym en t&that&m a y&be&m ad e&to&yo u&is&con tinge nt&on &you r&submission&to&satisfactory&proof&o f&your&
identity&an d &leg a l&au t h o riza tio n &to &w o r k&in &th e &U n ite d &S tat es .&If&yo u &f ail&to &s u b m it &th is&p ro o f,&F e d er al&L a w &p ro h ib its &u s&fro m&hiring&you.&&
Do&you&have&the&legal&right&to&work&and&remain&in&the&United&States?&&&&&Yes&&&&&No&
Are&you&at&least&16&years&of&age?&&&&&Yes&&&&&No&&&&&&If&a&minor,&d o &y o u &h a v e &a &w o r k &p e rmit?&&&&&Y e s&&&&&No &&
&
EDUCATION)
Type)of)
School)
Name)of)School)
Major)/)Course)of)S tud y )/)
Degree)
#)Of)Years)
Completed)
Did)You)
Graduate?)
Letter)Grade)
/)GPA)
Name&
High&
School&
City&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&State&
&
&
&
&
Name&
College&
City&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&State&
&
&
&
&
Name&
Other&
City&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&State&
&
&
&
&
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List&relevant&or&job&related&ho n ors,&pro fess ion al&orga niza tion s,&scho ol&ac tivities&an d&o ffices&h eld .&&& & &
& & & & & & & & & & & & & & & &
Professional&Licenses& & & & & & & & & & & & & &
Computer&Skills&& & & & & & & & & & & & & &
Special&Skills/Training& & & & & & & & & & & & & &
)
)
EMPLOYMENT)EXPERIENCE)
List&places&of&employment&including&temporary&and&permanent&BEGIN&WITH&MOST&RECENT&OR&CURREN T&EMP LOYER &
Company& & & & & Starting&Job&Title& & & Final&Job&Title& & & &
Address&& & & & & & City& & & & State& & Zip&& & &
&From&
(mo/yr)
& &&&&&&&&&To&
(mo/yr)
& & &Supervisor& & & & & Phone&Number& & & &
&
Reason&for&Leaving& & & & Starting&Salary& & & & Final&Salary& & & &
Duties& & & & & & & & & & & & & & & &
Company& & & & & Starting&Job&Title& & & Final&Job&Title& & & &
Address&& & & & & & City& & & & State& & Zip&& & &
From&
(mo/yr)
& &&&&&&&&&To&
(mo/yr)
& & &Supervisor& & & & & Phone&Number& & & &
&
Reason&for&Leaving& & & & Starting&Salary& & & & Final&Salary& & & &
Duties& & & & & & & & & & & & & & & &
Company& & & & & Starting&Job&Title& & & Final&Job&Title& & & &
Address&& & & & & & City& & & & State& & Zip&& & &
From&
(mo/yr)
& &&&&&&&&&To&
(mo/yr)
& & &Supervisor& & & & & Phone&Number& & & &
&
Reason&for&Leaving& & & & Starting&Salary& & & & Final&Salary& & & &
Duties& & & & & & & & & & & & & & & &
Company& & & & & Starting&Job&Title& & & Final&Job&Title& & & &
Address&& & & & & & City& & & & State& & Zip&& & &
From&
(mo/yr)
& &&&&&&&&&To&
(mo/yr)
& & &Supervisor& & & & & Phone&Number& & & &
&
Reason&for&Leaving& & & & Starting&Salary& & & & Final&Salary& & & &
Duties& & & & & & & & & & & & & & & &
Have&you&ever&been&discharged&from&any&employer&or&forced&to&resign?&&&&&Ye s&&&&&No & &&If&yes,&explain& & & &
& & & & & & & & & & & & & & & &
May&we&contact&your&present&employer&at&this&time?&&&&&Yes&&&&&No& &&&
)
GENERAL)
Indicate &th e &e ar lies t&t ime&and&la te st &time&you&c a n &w o r k&e a ch &d a y .&&( If &u n a va ilable&any&o f&th e s e&d a y s&p u t &an &X .) &
)
Salary/Rate&expected& & & & &
Date&available&to&start&work& & & &
&
I&am&ava ila b le&f o r/willing&to&a c ce p t&t h e&f o llo w in g &ty p e &o f&e m ployme n t&(c h e ck &all&t h a t&may&app ly):&&
&&Fu ll&T ime& &&Part&Tim e & &&Se a s o n a l&
Would&you&be&available&to&work&overtime?&&&&&Yes&&&&&No&& Do&you&have&available&transportation?&&&&&Ye s &&&&&No&
Have&you&previously&been&employed&by&Shoe&Carnival,&Inc.?&&&&&Yes&&&&&No&
Location& & & & Dates&of&Employment& & & & Supervisor& & & &
Reason&for&Leaving& & & & & & & & & & & & & &
Do&you&have&any&relatives&employed&by&Shoe&Carnival,&Inc.?&&&&&Y e s&&&&&No & Name& & & & & &
Relationship& & & & & Location& & & & & & & & &
PROFESSIONAL/PERSONAL)REFERENCES)
Please&provide&individuals&who&may&be&familiar&with&your&work&background&or&character.&Do¬&list&relatives&or&
supervisors&named&previously.&
Name& & & & & & Occupation& & & & & & & & &
Telephone&Day& & & & & Telephone&Evening&& & & & & & & &
Address&& & & & & City/State& & & Zip& & Years&Known& & &
Name& & & & & & Occupation& & & & & & & & &
Telephone&Day& & & & & Telephone&Evening&& & & & & & & &
Address&& & & & & City/State& & & Zip& & Years&Known& & &
Name& & & & & & Occupation& & & & & & & & &
Telephone&Day& & & & & Telephone&Evening&& & & & & & & &
Address&& & & & & City/State& & & Zip& & Years&Known& & &
Name& & & & & & Occupation& & & & & & & & &
Telephone&Day& & & & & Telephone&Evening&& & & & & & & &
Address&& & & & & City/State& & & Zip& & Years&Known& & &
Earliest&
Time&
Sun&
Mon&
Tue&
Wed&
Thurs&
Fri&
Sat&
Latest&&
Time&
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UNITED)STATES)MILITARY)SERVICE)
Branch& & & & & & From& & & To& & Current&Status& & & &
Highest&Rank&Attained& & & & & & & & & & & & & &
Work&Duties& & & & & & & & & & & & & & &
&
How&did&you&learn&about&this&opportunity?&Check&all&that&may&apply.&
&&Walk&In&&&&&&&New sp a per&&&&&&&S ig n / B a n n e r&&&&&&&Inter n e t&Job&Boa rd &&&&&&&Shoe c a rn iv a l.c o m&
&&Re f e rre d &by& & & & & _________&&Othe r& & & & ______________& &&&&&&
&
Have&you&ever&been&convicted&of&a&crime,&other&than&a&minor&traffic&violation?&&&&&Yes&&&&&No&& &
If&yes,&list&all&co n v ic tio n s ,&dates,&nature&of&offenses&and&county&and&state&of&conviction.&&
&
& & & & & & & & & & & & & & & &
& & & & & & & & & & & & & & & &
A)conviction)will)not)necessarily)be)a)bar)to)employment.)Applicants&are¬&obligated&to&disclose&expunged/concealed&
juvenile&re c or ds .&
&
I&certify&that&th e &in fo r m a tio n &I&h a ve &p ro v id ed &is &tru e ,&co rre ct ,&an d &c o m p le te .&&I&au th o r iz e&a n &in v e st ig at io n &o f&a ll&s ta te ments&con t ained&
in&my&ap p lica tio n &fo r&e mployme n t,&an d &u n d e rsta n d &th a t&a n y &fa lse&o r &m is lea d in g &sta te ments&or&m a ter ial&o missions&m a y&b e &c au s e &fo r&
refusal&to&hire&o r&t er mination&o f&e mployme n t,&if&I&a m&employ e d .&&I&also&authorize&Shoe &C a rn iv a l,&In c.&t o &make&such &in v es tig a t io n &o f&my&
educational,&criminal&record,&and&related&matters&as&may&be&necessary&to&make&its&employment&decision.&
I&hereby&a u th o rize &fo r m e r&a n d&present&employers,&unless&I&have&indicated&otherwise&in&writing,&as&well&as&schools,&references,&and&
others&to&provide&or&verify&any&information&they&have®arding&me&or&my&employment&with&them&to&an&official&representative&of&
Shoe&Carnival,&Inc.&&I&also&release&them&from&any&liability&from&providing&such&information&to&Shoe&Carnival,&Inc.&
I&agree&and &u n d e rs ta n d &th a t,&except&as&governed&by&applicable&federal,&state&or&local&law,&my&offer&of&employme n t&or&emplo yment&
establishes&no&guarantee&or&promise&or&contract&of&continued&employment&or&any&other&obligation&on&the&part&of&Shoe&Carnival,&Inc.&
beyond&pay&for&actual&work&performed.&&I&also&agree&an d &u n d e r st a n d &th a t,&except&as&governed&by&applicable&federal,&state&or&local&
law,&the&e mployme n t&r e la tio n s h ip&may&be&terminated&at&any&time&by&myself&or&Shoe&Carnival,&Inc.,&at&either&parties’&option&and&will.&
Signature& & & & & & & & Date& & & & & & &
Shoe&Carnival&Inc,&is&an&Equal&Opportunity&Employer,&and&does¬&discriminate&in&hiring&on&the&basis&of&race,&color,&religion,&gender,&
national&origin,&age,&disability,&veteran&status,&or&status&in&any&other&protected&group.&&
Revised&May&2012&
