Eddie's: Employment Pages

Online employment application:
* items are required

Be sure to read all the way to the bottom and indicate your approval with the applicant statement.

Equal access to programs, services and employment is available to all persons. Those applicants requiring reasonable accommodation to the application and/or interview process should notify a representative of the Human Resources Department

Position(s) applied for:

* Date of application:

, 20

* Name:

* Street address

* City:

* State:

* Zip:

* Telephone:

Mobile Phone/Beeper:

e-mail address:

* If your are under 18, can you provide a work permit?

Yes No

If no, please explain:

* Have you ever been employed here before? If so, give dates and positions:

* Work Authorization:

* Dates available to begin work:

* What is your desired salary range?

* Type of employment desired (check all that apply):

Full time Seasonal
Part time Educational co/op
Temporary

* Have you ever pled "guilty," "no contest" or been convicted of a crime?

yes
no

* If yes, please provide date(s) and details:

(answering "yes" does not constitute an automatic bar to employment. Factors such as date, seriousness of offense, rehabilitation and position applied for will be considered)

Drivers' license number (if driving is an essential job function):

EMPLOYMENT HISTORY

Please provide the following information for your past four (4) employers, assignments, or volunteer activities starting with the most recent:

MOST RECENT EMPLOYER:

* From

* Employer:

* Employer Phone:

* Employer Address

* City:

* State:

* Starting Job Title

* Final Job title:

* Immediate Supervisor and title

* May we contact for reference?

Yes No Later

* Summarize the nature of your job and responsibilities:

* Reason for leaving:

* Starting Salary

* Final Salary:

EMPLOYER 2:
From	to
Employer:
Employer Phone:
Employer Address
City:
State:
Starting Job Title
Final Job title:
Immediate Supervisor and title
May we contact for reference?	Yes No Later
Summarize the nature of your job and responsibilities:
Reason for leaving:
Starting Salary	Final Salary:

EMPLOYER 3:
From	to
Employer:
Employer Phone:
Employer Address
City:
State:
Starting Job Title
Final Job title:
Immediate Supervisor and title
May we contact for reference?	Yes No Later
Summarize the nature of your job and responsibilities:
Reason for leaving:
Starting Salary	Final Salary:

EMPLOYER 4:
From	to
Employer:
Employer Phone:
Employer Address
City:
State:
Starting Job Title
Final Job title:
Immediate Supervisor and title
May we contact for reference?	Yes No Later
Summarize the nature of your job and responsibilities:
Reason for leaving:
Starting Salary	Final Salary:

SKILLS AND QUALIFICATIONS

Summarize any training, skills, licenses and/or certifications that may qualify you as being able to perform job related functions in the position for which you are applying:

EDUCATIONAL BACKGROUND

	Graduate? YES NO
	Graduate? YES NO
	Graduate? YES NO

REFERENCES

		Years known
		Years known
		Years known

IMPORTANT: APPLICANT STATEMENT submitting this application signifies your consent with the following. Please read all the way to the end.:

I certify that all information I have provided in order to apply for and secure work with the employer is true, complete and correct. I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to (1) cancel further consideration of this application, or (ii) immediately discharge me from the employer's service, whenever it is discovered. I expressly authorize, without reservation, this employer, its representatives, employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume or job interview. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives, for seeking, gathering and using such information in the employment process and all other persons, corporations or organizations for furnishing such information about me. I understand that the employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by applicable local, state or federal law. I understand that this application remains current for only 30 days. At the conclusion of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary to reapply and fill out a new application. If I am hired, I understand that I am free to resign at any time, with or without cause and without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without cause and without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no supervisor or representative of the employer is authorized to make any assurances to the contrary and that no implied, oral or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by the employer's president. I also understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the United 'States and that federal immigration laws require me to complete an I-9 form in this regard. Under Maryland law an employer may not require or demand any applicant for employment or prospective employment or any employee to submit to or take a polygraph, lie detector or similar test or examination as a condition of employment or continued employment. Any employer who violates this provision is guilty of a misdemeanor and subject to a fine not to exceed $100. I agree to the following, if employed. 1. To be transferred to any department or store by the company 2. To report anyone in the company's employ whose conduct is contrary to the best interests of the company. 3. To submit to the balancing of my cash register drawer by the manager or any authorized representative of the company at any time. 4. to report any work related injury to my manager or supervisor within 24 hours of occurrence. 5. To obey the rules and regulations of the company at all times. 6. I understand the company provides uniforms to be worn during work hours. I understand that if I leave without returning the uniform, I must be charged the cost of its replacement. 7. I understand that my courtesy, efficiency and honesty are continually being checked by paid shoppers, purchasing from me as regular shoppers. I understand that any major inaccuracy or willful misrepresentation will justify my immediate dismissal. Company policy requires employees responsible for losses to the employer due to the employee's negligence to reimburse the employer through payroll deduction. The types of losses covered by deductions include: 1. Losses or damages to company property 2. Cash shortages from monies handled solely by the employee. 3. Damage to customer's property. I have read and agree to comply with the above company policy. I understand that in agreeing to allow the employer to deduct wages for company losses I am voluntarily having my rights under the Maryland Wage Payment Laws which prohibits deductions unless authorized in writing by the employee. I also understand that in signing this statement, I waive no rights to civil litigation to recover deductions in court.

DO NOT CLICK "SUBMIT" UNTIL YOU HAVE READ THE ABOVE STATEMENT. SUBMITTING THIS APPLICATION CERTIFIES THAT YOU HAVE READ, FULLY UNDERSTAND AND ACCEPT ALL TERMS OF THE FORGOING APPLICANT STATEMENT.

PLEASE: Press "submit" only once!
Form may take up to a minute to process.