Anna’s Home Furnishings is an Equal Opportunity Employer

PLEASE COMPLETE ALL SECTIONS, EVEN IF YOU ARE ATTCHING A RESUME

First Name

Last Name

Middle Name

Date of birth

Phone Number

Address

City

State

ZIP

Social Security No.

General Information

Position Desired

Office Admin/Customer Service
Sales
Store Manager
Visual Merchandiser/Designer
Warehouse

Salary Desired

What type of work do you desire?

Full-Time
Part-Time

Date you can start

Are you currently employed? If so, list your current employer

May we inquire your current employer?

Yes
No

Have you applied at Anna's before?

Yes
No

Days available to work

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Are you 16 years of age or older ?

Yes
No

Willing to work overtime if needed?

Yes
No

For Sales applicants: What type of merchandise have you sold?

For Clerical/Office applicants: What computer programs do you know/use?

For Warehouse applicants: What equipment have you used?

How were you referred to us?

Craigslist Ad
Temp Agency
Walk-In
Friend/Referral
School

Education

High School

Name

Address

Enrollment date from

Enrollment date to

Earned Diploma or GED?

Diploma
GED
None

Business/Vocational School

Name

Address

Enrollment date from

Enrollment date to

Degree earned

Community College/University

Name

Address

Enrollment date from

Enrollment date to

Degree earned

Work Experience

LIST ALL EMPLOYMENT EXPERIENCE FOR THE PAST SEVEN YEARS, STARTING WITH THE MOST RECENT OR PRESENT EMPLOYER. USING A SEPARATE SECTION FOR EACH POSITION, DESCRIBE IN DETAIL ALL WORK EXPERIENCE INCLUDING PERIODS OF UNEMPLOYMENT. YOU MAY INCLUDE AS PART OF YOUR EMPLOYMENT HISTORY ANY VERIFIED WORK PERFORMED ON A VOLUNTEER BASIS. RESUMES MAY NOT BE SUBSTITUTED IN LIEU OF COMPLETING THE FOLLOWING EMPLOYMENT INFORMATION. PLEASE USE AN ADDITIONAL APPLICATION FORM IF NECESSARY.

BEGIN WITH MOST CURRENT EMPLOYER.

Company 1

Address

Phone Number

Position Held

Immediate Supervisor

From

To

Starting Salary

Present/Final Salary

Company 2

Address

Phone Number

Position Held

Immediate Supervisor

From

To

Starting Salary

Final Salary

Company 3

Address

Phone Number

Position Held

Immediate Supervisor

From

To

Starting Salary

Final Salary

PLEASE LIST THREE ADDITIONAL PROFESSIONAL REFERENCES (NON-FAMILY MEMBERS)

Name

Phone Number

Present Employer

Relationship

Name

Phone Number

Present Employer

Relationship

Name

Phone Number

Present Employer

Relationship

During the past seven years have you ever been discharged, suspended or asked to resign from any position?

Yes
No

If yes, please explain

Have you ever been convincted of a felony, misdimeanor, or other crime?

Yes
No

If yes, please explain

Attach your resume

ADDITIONAL INFORMATION

IN THE SPACE PROVIDED BELOW, PLEASE FEEL FREE TO LIST ANY ADDITIONAL INFORMATION YOU FEEL WILL ASSIST US IN EVALUATING YOUR QUALIFICATIONS FOR EMPLOYMENT, INCLUDING TECHNICAL TRAINING/EDUCATION, PROFESSIONAL REGISTRATIONS, MEMBERSHIPS, SCHOLASTIC AWARDS, ACADEMIC ACHIEVEMENTS AND HONORS. (YOU MAY EXCLUDE AFFILIATIONS WHICH MIGHT INDICATE RACE, COLOR, RELIGION, ANCESTRY, SEX, SECUAL ORIENTATION, NATIONAL ORIGIN, AGE, DISABILITY, VETERAN STATUS, MARITAL STATUS, MEDICAL CONDITION, OR ANY OTHER PROTECTED CLASSIFICATION.)

PLEASE READ CAREFULLY

I understand that nothing contained in this employment application, or in the granting or conducting of an interview, is intended to create an employment contract between Anna's Home Furnishings and myself either for employment or for the providing of any benefit. No promises regarding employment or duration of employment have been made to me and I understand that no such promises or guarantees are binding upon Anna's Home Furnishings unless made in writing by the president of the corporation. If an employment relationship is established, I understand that my employment is at-will, and that I have the right to terminate my employment at any time for any reason, and that Anna's Home Furnishings retains a similar right, with or without cause.

I hereby certify that the statements made in this application are true and correct herein, and I understand that any falsification or omission of information may result in denial of employment or, if hired, may result in termination, regardless of the time lapse before discovery. I understand, where permissible under applicable state and local law, I may be subject to a pre-employment drug test after receiving a conditional offer of employment. I also authorize my previous employers, companies, schools and persons named herein as references to give any information relevant to my bona fide employment qualifications to Anna's Home Furnishings. I hereby release said previous employers, companies, schools, persons, and Anna's Home Furnishings from, any and all liability and responsibility arising out of the release or receipt of such information.

I further agree that, if employed by Anna's Home Furnishings, I will conform my conduct to Anna's Home Furnishings' rules, regulations, and policies.

I have read the above authorization and agreement and agree to its terms.

Yes