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Employment Application

Sibley's West: The Chandler and Arizona Gift Shop celebrates the unique gift items created by Arizona artists and small businesses.

We emphasize outstanding customer service in a cheerful, fun atmosphere. We are open 363 days a year, but we offer flexible hours and tasks.

If you would like to be considered for a position with Sibley's West, please print and complete the application below and drop it off at the store in Downtown Chandler.

Application for Employment


Our policy is to provide equal employment to all qualified persons without regard to race, creed, color, religious belief, sex, age, national origin, ancestry, physical or mental disability, or veteran status.

Date __________________________

Last Name _____________________   First Name _________________________   Middle Initial ___________

Street Address _____________________________________________________________________________

City __________________________   State __________   Zip ______________

Phone ________________________­   Email Address _______________________________________________

 

Employment Desired

Position applying for _________________________________________________________________________

How did you hear of this opening?______________________________________________________________

Have you ever applied for employment here?             Yes             No

When? ________________________________________________ 

Have you ever been employed by this company?       Yes             No

When? ________________________________________________

Are you presently employed?                                         Yes             No

May we contact your present employer?                     Yes             No

Are you available for full-time work?             Yes             No

Are you available for part-time work?           Yes             No

What hours and days of the week are you available? _______________________________________________

Date you can start __________________________________________________________________________

Desired position ____________________________________________________________________________

Desired starting salary _______________________________________________________________________

Please list applicable skills ____________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

 

Education

School Name and Location:                                                                     Year               Major              Degree

High School _______________________________________________________________________________

College ___________________________________________________________________________________

Post-College _______________________________________________________________________________

Other Training _____________________________________________________________________________

 

In addition to your work history, are there other skills, qualifications, or experience that we should consider?

__________________________________________________________________________________________

__________________________________________________________________________________________

________________________________________________________________________________________

__________________________________________________________________________________________

 

Employment History (Start with your current or most recent employer. A resume may be used for the responsibilities portion on this section.)

Company Name ____________________________________________________________________________

Address ________________________________________________________ Phone _____________________

Date Started ____________________ Starting Wage ____________________ Starting Position ____________

Date Ended _____________________ Ending Wage _____________________ Ending Position _____________

Name of Supervisor _________________________________________________________________________

May we contact?             Yes             No

Responsibilities _____________________________________________________________________________

__________________________________________________________________________________________

Reason for leaving __________________________________________________________________________

 

Company Name ____________________________________________________________________________

Address _________________________________________________________ Phone ____________________

Date Started ____________________ Starting Wage ____________________ Starting Position ____________

Date Ended _____________________ Ending Wage _____________________ Ending Position _____________

Name of Supervisor _________________________________________________________________________

May we contact?             Yes             No

Responsibilities _____________________________________________________________________________

__________________________________________________________________________________________

Reason for leaving __________________________________________________________________________

 

Company Name ____________________________________________________________________________

Address _________________________________________________________ Phone ____________________

Date Started ____________________ Starting Wage ____________________ Starting Position ____________

Date Ended _____________________ Ending Wage _____________________ Ending Position _____________

Name of Supervisor _________________________________________________________________________

May we contact?             Yes             No

Responsibilities _____________________________________________________________________________

__________________________________________________________________________________________

Reason for leaving __________________________________________________________________________

(Add additional pages if necessary.)

 

References

List three personal references, not related to you, who have known you for more than one year.

Name _____________________________________ Phone ________________________ Years Known ______

Name _____________________________________ Phone ________________________ Years Known ______

Name _____________________________________ Phone ________________________ Years Known ______

 

Are you a U.S. citizen or otherwise authorized to work in the U.S. on an unrestricted basis? (You may be required to provide documentation.)             Yes         No

Have you ever been convicted of a felony? (This will not necessarily affect your application.)           Yes         No

If yes, please describe conditions. ______________________________________________________________

__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Please read before signing.

I certify that all information provided by me on this application is true and complete to the best of my knowledge and that I have withheld nothing that, if disclosed, would alter the integrity of this application.

I authorize my previous employers, schools, or persons listed as references to give any information regarding employment or educational record. I agree that this company and my previous employers will not be held liable in any respect if a job offer is not extended, or is withdrawn, or employment is terminated because of false statements, omission, or answers made by myself on this application. In the event of any employment with this company, I will comply with all rules and regulations as set by the company in any communication distributed to the employees.

In compliance with the Immigration Reform and Control Act of 1986, I understand that I am required to provide approved documentation to the company that verifies my right to work in the United States on the first day of employment. If employed I will receive from the company a list of the approved documents that are required.

I understand that employment at this company is “at will,” which means that either I or this company can terminate the employment relationship at any time, with or without prior notice, and for any reason not prohibited by statute. All employment is continued on that basis. I hereby acknowledge that I have read and understand the above statements.

Signature _______________________________________________________ Date _____________________