Application for Employment

NOTE: To consider your application complete:
Email your resume to owner, Emily Davis IN ADDITION to completing the below application.

Personal Information

First Name

Last Name

Email Address

Are you legally eligible for employment in the U.S.?

(All new hires are required to provide proof of eligibility to work in the U.S.). A conviction will not necessarily disqualify you for employment. If yes, list convictions that are a matter of public record (arrests are not convictions). Include type of crime and conviction in the space at the end of this application.

Y N

EMPLOYMENT DESIRED (3 shifts per week + 3 out of 4 Saturdays per month are required)

Wage Desired*

Date you can start*

Specify hours available each day of the week

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Have you ever worked for a Fleet Feet Sports or a New Balance store?

Y N

If yes; which store, when did you work there, and for how long?

Why should we consider you as a candidate? Describe your interests and skill sets that apply to a retail environment and to helping others live a more fit life.*

Have you ever been a Fleet Feet or New Balance store customer?*

If yes, which location? Please describe your experience as a customer.

What about Fleet Feet Winston-Salem/New Balance Winston-Salem appeals to you as somewhere you'd like to work?*

Describe your fitness background, races you've participated in, experience training others, and fitness goals.*

REFERENCES: Please give the name of three professional references, whom you have known for at least one year.

Name #1*

Email address / phone #*

Type of business*

# of years acquainted*

Name #2*

Email address / phone #*

Type of business*

# of years acquainted*

Name #3*

Email address / phone #*

Type of business*

# of years acquainted*

Did you email a copy of your resume to emily@fleetfeetws.com?

You must also email a copy of your resume to owner, Emily Davis, for your application to be considered complete.

Yes No

PLEASE READ CAREFULLY:
Fleet Feet Sports/New Balance Winston-Salem does not discriminate in hiring on basis of race, color, religion, sex, national origin, disability, veteran status, or your membership in any protected class protected under law of this jurisdiction. By signing below,

? I hereby authorize Fleet Feet Sports/New Balance Winston-Salem to thoroughly investigate my background, references, employment record and other matters related to my suitability for employment. ?I certify that all statements made by me on this application are true and complete to the best of my knowledge and that any misrepresentations or omissions may be the cause for rejection of my application, or may be cause for subsequent dismissal, if I am hired.

? I understand that I may be required to sign a confidentiality and/or non-compete agreement, should I become an employee of Fleet Feet Sports/New Balance Winston-Salem.

? I understand that nothing contained in this application or conveyed during any interview which may be granted, is intended to create an employment contract.

? I understand that filling out this form does not indicate there is a position open and does not obligate Fleet Feet Sports/New Balance Winston-Salem to hire me.

? I further understand and agree that my employment, if granted, is ?at will?, which means that it is for no specified period and may be terminated by me or Fleet Feet Sports/New Balance Winston-Salem at any time without prior notice for any reason.

AGREEMENT:
By signing this Electronic Signature Acknowledgment Form, I agree that my electronic signature is the legally binding equivalent to my handwritten signature. Whenever I execute an electronic signature, it has the same validity and meaning as my handwritten signature. I will not, at any time in the future, repudiate the meaning of my electronic signature or claim that my electronic signature is not legally binding.

I agree to the above statement

Electronic Signature*

Date*

List any convictions here.

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Personal Information

EMPLOYMENT DESIRED (3 shifts per week + 3 out of 4 Saturdays per month are required)

Specify hours available each day of the week

REFERENCES: Please give the name of three professional references, whom you have known for at least one year.

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