CALIFORNIA EMPLOYMENT APPLICATION

Please print clearly and complete both sides of this employment application. Applications will remain active for one month.
During our seasonal period, all sales and stock associates hired between 10/15 - 12/31 will be hired as temporary employees and subject to layoff at the end of the seasonal
period. Consideration to be hired as part of the stores core staffing will be given to associates based on performance, availability and the needs of the business.
Todays Date

5/14/15

Aropostale is an equal opportunity employer

Name (Last)

(First)

Have you ever worked or attended school under another name

that we need to know to verify your records? If yes, name:
Yes
No
Home Phone Number

(Middle)

Melisa

Salcido
Permanent Address (Number, Street, City, State & Zip)

13708 Cordary Ave apt 107

Hawthorne, Ca 90250
Temporary

(424)243-1797

Mailing Address

Social Security Number

Position Desired

Cashier
List names of friends and relatives now employed by Aropostale

N/A

Business or Temporary Phone

Schedule Preferred
Full Time (7, 7 1/2 or More Hours Daily - 5 Days)
Part Time (Days / Evenings / Weekends)
Are you 18 years of age or older?
Yes

No

List your interests, hobbies, special skills

What days are you NOT available for work?

Currently employed?

Full Time
Part Time
Not Employed
Foreign language (s) spoken fluently which would be helpful in position sought

Fashion, friendly, responsible

Spanish

List names of all organizations of which you are a member (exclude any organization which would indicate the following: race, color, creed, ancestry, national origin, religion, sex, or marital status)

N/A
Have you ever been employed by Aropostale?

If yes, under what name were you employed?

Store location?

Dates employed?

From:
To:
Yes
No
PREVIOUS EMPLOYMENT
List in order of employment starting with your present employment. Please account for all time, including current employment, military service, part time jobs and periods of unemployment. If you held two jobs at the same time, be
sure to list both jobs. State if any of these employers are related to you. Use additional sheet if necessary.
Name of Business

Address of Business

Name of
Supervisor

Salary
Start

End

Job Title or
Nature of Work

Reason
For Leaving

Date From
MO
YR

Date To
MO

EDUCATION
School

Name & Address of School

High School

Leuzinger High School

4118 Rosecrans Avenue,
Lawndale, CA 90260

Course of Study

Circle Last Year

Completed

List Diploma
or Degree

College

Other (specify)

HR124 FEB-08

High school

High school diploma

YR

ADDITIONAL EMPLOYMENT HISTORY INQUIRIES

Have you ever been dismissed or forced to resign from any employment? If yes, please explain:
Yes

No

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

Yes

No

PERMISSION TO WORK
If employment is offered, can you submit verification of your legal right to work in the U.S.?
Yes

No

REFERRAL SOURCE
Walk In

Newspaper Ad

Community Organization

Employee Referral (Name)_________________________________________

Other (Please List) _______________________________________________________

School/College (Name) ______________________________________________

REFERENCES
Reference (not related to you) Cesar Perez

4118 Rosecrans Ave

Address

Street

Reference (not related to you) Kamala Dexter

Lawndale, CA 90260
City

(310) 263-2200
Phone

State

Lawndale, CA 90260
Zip

College career counselor

Job Title

2 yrs
How acquainted and for how long?

Address

Street

City

State

Zip

(310)263-2200
Phone

Job Title

1 yr
How acquainted and for how long?

A good attendance record is part of overall performance. Are you able to comply with the attendance requirements of the position? If no, describe the attendance requirements you can not meet.

IMPORTANT: PLEASE READ CAREFULLY AND INITIAL EACH PARAGRAPH

"I declare that the facts contained in this application or any resume or other documentation submitted are true and complete to the best of my knowledge. I understand that any false information

MS
____________
initials

or significant omissions will disqualify me from further consideration for employment, and may result in my dismissal from employment if discovered at a later date."

"I authorize the company to contact and obtain information from all references, employers and educational institutions, and to otherwise verify the accuracy of the information contained in this application,

MS

and I authorize the release of this information."

____________ initials

"I understand that any offer of employment may be conditioned upon the satisfactory results of a background investigation, a physical examination and my passing a drug/alcohol screening."

MS
____________
initials

"I understand that, if hired, I will be required to provide proof of identity and legal work authorization."

____________ initials

"I understand that, if hired, I may not hold other employment or engage in other activities that create a conflict of interest with my position in the company."

MS
____________
initials

"If I become employed, and in consideration of my employment, I agree to comply with the rules, regulations, policies and procedures of the company."

MS
____________
initials

MS

AGREEMENT FOR AT-WILL EMPLOYMENT

"If I become employed, and in consideration of my employment, I agree that my employment will be at-will, and may be terminated with or without cause, and with or without advance notice,
at any time at the option of myself or the company. Only the senior vp of human resources of the company has the authority to enter into an employment agreement for a specified period of time
or for termination only for cause, and any such agreement must be in writing and signed by the senior vp of human resources of the company. I understand and acknowledge that this constitutes
the entire agreement between me and the company regarding the term of my employment and supersedes any other oral or written agreements."

MS initials
____________
Melisa Salcido
Signature of applicant (do not print)

HR124 FEB-08

5/14/15
Date