Saxon Shoes
Employment Application

Applicant Information

Last NameFirst NameM.I.DateStreet AddressApartment/Unit #CityStateZipPhoneEmail Address:

Date AvailableDesired SalaryPosition Applying For:

Please list any Saxon Employees that you know:

Are you a citizen of the United States?If no, are you authorized to work in the U.S.?

Have you ever worked at this company?If so, when?

Have you ever been convicted of a felony?If yes, explain:

Education

High SchoolAddress:Attended From:To:Did you graduate?Degree

College:Address:Attended From:To:Did you graduate?Degree

Other:Address:Attended From:To:Did you graduate?Degree

References (Please list three professional references)

Reference 1 - Full Name:Relationship:Company:Phone:Address:

Reference 2 - Full Name:Relationship:Company:Phone:Address:

Reference 3 - Full Name:Relationship:Company:Phone:Address:

Previous Employment

Company:Phone:Address:Supervisor:Job Title:Starting Salary:Ending Salary:Responsibilities:From:To:Reason for Leaving:May we contact your previous supervisor for a reference?

Other:

Why should Saxon consider you for employment?What do you do for fun?

Availability:

Full Time or Part Time?Monday:Tuesday:Wednesday:Thursday:Friday:Saturday:Sunday:

Disclaimer and Signature:

I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or interview
may result in my release.

Signature:Date:

Thank you! Your submission has been received!

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Short Pump Town Center | The Village at Spotsylvania Town Centre
www.saxonshoes.com

Saxon ShoesEmployment Application