Today's Date___/___/_____ Mail to: Recruitment Director Simply Fashions Stores Ltd.
P.O. Box 188 • Birmingham, AL 35201-0188
Please answer completely
First Name___________________________, Last_________________________, M____
Address________________________________________________________________
City ________________________ State_______________ Zip Code _______________
Home Phone________________Best Time to reach me is________________________
Date of Birth if under 18 years___/___/_____
Check the appropriate YES or NO answer and complete the questions.
Have you ever been employed by Simply Fashions or Simply 6 ? YES NO
I YES, where and when ? __________________________________ Date ___/___/____
Why did you leave ?___________________________________________________________________________
Do you have a friend or relative employed by Simply Fashion or Simply 6? YES NO
If YES, who ?__________________________________________________________
Where are they employed ?________________________________________________
Are you currently employed ? YES NO If YES, where ?__________________________
Have you plead guilty or been found guilty in a court of law for anything other than a minor traffic violation? YES NO
If YES, explain______________________________________________________________________________
___________________________________________________________________________________________
Summarize your previous employment
Dates
Name of Employer (Company)
Duties
Salary
___/___/_____     $__.__ /HR
___/___/_____     $__.__ /HR
___/___/_____     $__.__ /HR
___/___/_____     $__.__ /HR
___/___/_____     $__.__ /HR
Check the appropriate position you are applying for with Simply Fashions
Sales Management If management, are you willing to relocate? YES NO
You are interested in ? Part-time Full-time When are you available to start ? ___/___/_____
Total Number of hours you are available to work
 
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
From
              
To
              
How much do you require ?_________________________________________________
IMPORTANT! PLEASE READ. Simply Fashion Stores, Ltd. is an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to their race, color, religion, national origin, age, sex, marital status, and disability or veteran status. I understand and voluntarily agree to each of the following: (1) If I am employed by Simply Fashion Stores, Ltd., my employment may be terminated by myself or my employer at any time, without cause, notice or liability; (2) No representation, whether oral or written, by any representative of Simply Fashion Stores, Ltd., other than the President of Simply Fashion Stores, Ltd., with respect to any policy, procedure, benefit or term and condition of employment, shall be binding upon Simply Fashion Stores, Ltd., (3) I hereby agree that, if I receive this appointment, my employment and compensation may be discontinued, at the discretion of either myself or my employer with or without cause, and with or without notice, at any time, and that remuneration be paid only for services rendered to the time of said discontinuance. No manager or other representative of Simply Fashions, other than the President, has any authority to enter into any agreement contrary to the foregoing. Further, no such agreement shall be enforceable, unless it is in writing and signed by the associate and the President of Simply Fashion Stores, Ltd.; (4) All of the information that I have furnished in regard to my application is complete, true and correct; (5) I agree that I will settle any and all previously unasserted claims, disputes or controversies arising out of or relating to my application and/or candidacy for employment with Simply Fashions, exclusively by final and binding arbitration before a neutral arbitrator. By way of example only, such claims include claims under federal, state and local statutory or common law, such as Age Discrimination in Employment Act, Title VII of the Civil Rights Act of 1964, as amended, including the amendments of the Civil Rights Act of 1991, the Americans with Disabilities Act, the law of contract and the law of tort. (6) Any misrepresentation or omission will be a ground for termination upon the discovery of such falsification or omission, whenever such discovery is made; (7) As a condition of employment or any time during employment, I may be required by my employer to take a drug use screening test(s), and that my failure of such test(s) whenever requested to do so will result in the termination of my employment; (8) As a condition of employment or at any time during employment, Simply Fashion Stores, Ltd. may run a confidential credit check and/or criminal background on me; and (9) Simply Fashion Stores, Ltd. may contact my previous employers, schools and references.
Date___/___/_____ Signature _______________________________________________