Name (required)

Email Address (required)

Phone

Address

City

State

Zip Code

When can you start ? (mm/dd/yyyy)

Employment Record:

Starting with present or MOST RECENT, list all precious employers. Include self-employment, military service, summer, and part-time jobs. Leave empty if no experience available.

Employment Record 1:

Company Name:
Company Phone:
Company Address:
Company City:
Company State:
Company Zip:
Date Employed From: (mm/dd/yyyy)
Date Employed To: (mm/dd/yyyy)
Supervisor's Name:
Position & Duties:
Reason for Leaving:

Employment Record 2:

Company Name:
Company Phone:
Company Address:
Company City:
Company State:
Company Zip:
Date Employed From: (mm/dd/yyyy)
Date Employed To: (mm/dd/yyyy)
Supervisor's Name:
Position & Duties:
Reason for Leaving:

Employment Record 3:

Company Name:
Company Phone:
Company Address:
Company City:
Company State:
Company Zip:
Date Employed From: (mm/dd/yyyy)
Date Employed To: (mm/dd/yyyy)
Supervisor's Name:
Position & Duties:
Reason for Leaving:

REFERENCES:

Reference #1 (Required)

Reference Name:
Reference Occupation:
Reference Address:
Reference Phone:

Reference #2

Reference Name:
Reference Occupation:
Reference Address:
Reference Phone:

Education (Required)

Name of School:
School Address:
No. of years attended:
Degrees:

AVAILABILITY (Required)

Put "N/A" if not available

Monday

AM
PM

Tuesday

AM
PM

Wednesday

AM
PM

Thursday

AM
PM

Friday

AM
PM

Saturday

AM
PM

Sunday

AM
PM

LOCATION PREFERENCE:

(Check all that apply:)

Locations: Kam Shopping CenterAiea/Pearl RidgeKahala MallWindward MallAla MoanaWaipahuWaianaeWaikelePearl HighlandsMililaniKaMakana Ali'iKaahumanu (Maui)Lahaina (Maui)Prince Kuhio (Big Island)Kona Commons (Big Island)Parker Ranch (Big Island)Kukui Grove (Kauai)Agana (Guam)Micronesia Mall (Guam)GPO (Guam)

OTHER:

Do you know anyone presently working for out company? (Required)YesNo

If so, who?
Relationship

Resume: (optional)

File Types: pdf, doc, or docx

Note:

It is the policy of this company to hire only U.S. Citizens and aliens who are authorized to work in this country. (As a condition of employment, you will be required to produce original documents establishing your identity and authorization to work, and to complete the U.S. Immigration and Naturalization Services' Form 1-9)

After an offer of employment is made, but before employment duties begin, applicants may be required to disclose all criminal convictions during that past ten (10) years, excluding any periods of incarceration. If Jeans Warehouse determines that an applicant has a criminal conviction that bears a rational relationship to the duties and responsibilities of the position for which the applicant has applied, Jeans Warehouse may revoke the conditional offer of employment.

Jeans Warehouse is a drug-free workplace. Jeans Warehouse conducts alcohol and drug testing (including random testing). Employees may be required to submit to alcohol and drug testing in accordance with company policy.

Terms of service agreement:

I certify that all statements made on this application are true and complete to the best of my knowledge. I understand that my application will not be considered if it is incomplete. Further, I understand that any misrepresentation or omission will subject me to discharge and I hereby authorize any investigation of the above or related work experience, education, or reputation information for purposes of consideration of my application for employment.

This application is not a contract and cannot create a contract. I understand that if I am employed, my employment is "at will" and can be terminated at any time, either by myself or the Company, with or without cause or reason and with or without notice.

Applicant's Name:
Application Date: