Fillable Printable Zumiez Application Form
Fillable Printable Zumiez Application Form
Zumiez Application Form
Application for Employment
Please complete all requested information.
Today's Date_______/_______/_______
Name: __________________________________________________________
Street Address: ___________________________________________________ Position Desired: ________________________________________
City: _____________________ State: _____________ Zip :_______________ Date Available to Start :___________/____________/___________
Telephone: (_________)____________________________________________ Minimum Wage Desired: $________________________ /per hour
Email Address: ___________________________________________________
Have you ever applied to or worked for Zumiez, Inc. in the past? Yes / No If yes, what store? ___________________________ When?________/________/________
In case of emergency, notify:___________________________________ Relation:____________________________________________ Telephone:(_____)_________________
Have you been convicted, pled guilty or no contest, or forfeited bond or collateral on a felony or misdemeanor? Yes / No . If yes, please list all crimes and attach an explanation.
(Do not include convictions for which the record has been sealed, expunged or eradicated. Do not answer this question if seeking employment in Hawaii. If you are subsequently
offered employment, you may be required to answer this question at that time. For job openings in California, do not include marijuana convictions identified in Cal Labor Code 432.8
that are more than two years old). A criminal history will not necessarily bar you from employment. We will consider the nature of the crime, nature of the job, length of time since the
crime, and evidence of rehabilitation. If Yes, state details:__________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________________________
If you are under the age of 18, you may be required to submit a minor work permit.
Full Time,________ hours per week
Part Time Days,________ hours per week
Part Time Evenings,________ hours per week
Please indicate the hours you are available to work during both day and evening(i.e. 9 a.m. - 2 p.m., 4 p.m. - 10 p.m..)
NOTE: IF HIRED AND YOUR SCHEDULE AVAILABILITY CHANGES, IT IS YOUR RESPONSIBILITY TO NOTIFY YOUR SUPERVISOR.
Are you available to relocate to another city or state? Yes / No If yes, please list the geographic areas you are available to work and/or transfer to:____________________________
_______________________________________________________________________________________________________________________________________________
Name of School City, State Years Completed Type of Courses/Areas of Study
High School
College
Additional
Training
As an employee, some of the responsibilities you would be accountable for are: customer service, product/technical knowledge (clothing, snowboards, skateboards and
accessories, etc.), cashiering, general housekeeping of the store, merchandising, etc. Briefly describe your qualifications/knowledge/skills/activities/hobbies that would help you
perform these duties. (For example: DECA, FBLA, cashiering/sales experience, snowboarding and skateboarding knowledge or interest, etc.)
GENERAL INFORMATION
AVAILABILITY TO WORK
EDUCATION AND TRAINING
ADDITIONAL QUALIFICATIONS
Zumiez requires that all applicants be 16 years of age or olde
r
If employment is offered, can you submit verification of your legal right to work in the US? Yes / No Are you under the age of 18?____________
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An Equal Opportunity Employer
References
Checked
List your previous employers, starting with your most recent position.
Employer: __________________________________________________________Dates Worked: From: _______/_______/_______ To: ________/________/_______
Address: ___________________________________________________________Starting Position: _________________________ Starting Salary: $_______________
City, State, Zip: ______________________________ Phone: _______________Last Position: ___________________________ Last Salary: $__________________
Supervisor's Name: _______________________________ May We Contact This Employer? Yes / No
Duties/Responsibilities: __________________________________________________________________________________________________________
__________________________________
____________________________________________________________________________________________________________________________
__________________________________
Reason for Leaving: ____________________________________________________________________________________________________________
__________________________________
Employer: __________________________________________________________Dates Worked: From: _______/_______/_______ To: ________/________/_______
Address: ___________________________________________________________Starting Position: _________________________ Starting Salary: $_______________
City, State, Zip: ______________________________ Phone: _______________Last Position: ___________________________ Last Salary: $__________________
Supervisor's Name: _______________________________ May We Contact This Employer? Yes / No
Duties/Responsibilities: __________________________________________________________________________________________________________
__________________________________
____________________________________________________________________________________________________________________________
__________________________________
Reason for Leaving: ____________________________________________________________________________________________________________
__________________________________
Employer: __________________________________________________________Dates Worked: From: _______/_______/_______ To: ________/________/_______
Address: ___________________________________________________________Starting Position: _________________________ Starting Salary: $_______________
City, State, Zip: ______________________________ Phone: _______________Last Position: ___________________________ Last Salary: $__________________
Supervisor's Name: _______________________________ May We Contact This Employer? Yes / No
Duties/Responsibilities: __________________________________________________________________________________________________________
__________________________________
____________________________________________________________________________________________________________________________
__________________________________
Reason for Leaving: ______________________________________________________________________________________________________________
__________________________________
Have you ever been dismissed, forced to resign or involuntarily terminated from any employment? Yes / No If yes, please explain: _____________________
Give the names of three persons not related to you whom you have know for at least one year.
Name Address (city and state is acceptable) Phone How aquatinted and for how long?
1
._______________________________________
_________________________________________
____________________________
________________________________________
2
._________________________________________
_________________________________________
____________________________
________________________________________
3
._______________________________________
_________________________________________
____________________________
________________________________________
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 further authorize you to contact all of my previous employers and/or references for full information regarding my
employment and release them from any and all liability for the information they provide. If I am employed, I agree to abide by the rules and regulations of
Zumiez Inc. I understand that my employment is at-will meaning 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 Zumiez Inc. is free to terminate my employment at any time for any
reason.
SIGNATURE
: ___________________________________________________________________________
DATE
: ________________________________________
WORK EXPERIENCE
REFERENCES
APPLICANT'S STATEMENT/CERTIFICATION
Y / N
Manager's
Initials
__________
Y / N
Manager's
Initials
__________
Y / N
Manager's
Initials
__________
Y / N
Manager's
Initials
__________
