Saxon Shoes
Employment Application
Applicant Information
Last Name
First Name
M.I.
Date
Street Address
Apartment/Unit #
City
State
Zip
Phone
Email Address:
Date Available
Desired Salary
Position Applying For:
Location Applying For:
Sales
Cashiering
Stock
Management
Short Pump
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.?
Are you a citizen of the United States?
Yes
No
If no, are you authorized to work in the U.S.?
Yes
No
Have you ever worked at this company?
If so, when?
Have you ever worked for this company?
Yes
No
Have you ever been convicted of a felony?
If yes, explain:
Have you ever been convicted of a felony?
Yes
No
Education
High School
Address:
Attended From:
To:
Did you graduate?
Degree
Did you graduate?
Yes
No
College:
Address:
Attended From:
To:
Did you graduate?
Degree
Did you graduate?
Yes
No
Other:
Address:
Attended From:
To:
Did you graduate?
Degree
Did you graduate?
Yes
No
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?
May we contact your previous supervisor for a reference?
Yes
No
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?
May we contact your previous supervisor for a reference?
Yes
No
Other:
Why should Saxon consider you for employment?
What do you do for fun?
Availability:
Full Time or Part Time?
Select One
Full Time
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