<%@LANGUAGE="VBSCRIPT" CODEPAGE="65001"%> FWOutfitters EMPLOYMENT APPLICATION
EMPLOYMENT APPLICATION FOR
FORT WAYNE OUTFITTERS AND BIKE DEPOT, LLC

Career Opportunities. Become a team member! At Fort Wayne Outfitters and Bike Depot, we are continually looking for qualified individuals to fill various full and part-time positions including sales and bicycle mechanic.

As an Equal opportunity employer, Fort Wayne Outfitters and Bike Depot, LLC does not discriminate in hiring because of race, creed, color, age, sex, national origin, ancestry, disability or because of an Armed Forces obligation.

Today's Date:
First Name: Middle:
Last Name:
Phone Number:
Email Address:
Social Security Number:

Street Address:
City: State: Zip:
Country:
Position Desired: Pay Expected:
Apart from religious observance, are you available for full time work?   Yes    No
Will you work over time if asked?   Yes    No
Are you legally eligible for employment in the United States?   Yes    No
When would you be available to begin work?:
Have you ever operated a cash register?   Yes    No
Are you available to work...
 Full Time Part Time Nights Weekends
Yes No Yes No Yes No Yes No
COMPLETE THIS SECTION IF YOU SERVED IN THE ARMED FORCES
Describe your duties or any special training:
Branch of Service:
Dates of Active Service:
Date & Rank at Discharge:
Have you ever been convicted of a felony?   Yes    No
If Yes, please describe:
EDUCATION
SCHOOL NAME AND SCHOOL LOCATION
College:
  Course of study:
   Did you graduate?: Yes No Years?:
High School:
   Did you graduate?: Yes No Years?:
Elementary School:        
Other Education:
EMPLOYMENT HISTORY
Please give accurate full and part-time employment records. Start with your most recent employment.
1. Company Name:
Street Address:
City: State: Zip:
Telephone:
Salary: Start: Finish:
Job Title & Description:
2. Company Name:
Street Address:
City: State: Zip:
Telephone:
Salary: Start: Finish:
Job Title & Description:
3. Company Name:
Street Address:
City: State: Zip:
Telephone:
Salary: Start: Finish:
Job Title & Description:
PERSONAL REFERENCES
Please list at least 2 personal references.
Name:

Address:
Telephone:
Name:

Address:
Telephone:
Name:

Address:
Telephone:

I understand that employment with Fort Wayne Outfitters & Bike Depot, LLC. (the Company) is subject to approval by the Company after complete investigation of the information that I have provided on this application. I hereby authorize the Company to make this investigation and also authorize any individual, institution, organization, police agency and former employer to furnish the Company with any information about me, and I release all involved persons from any liability arising from giving or receiving such information. I understand that if it is discovered that I made false statements on this application which the Company determines to be material, I will no longer be considered for employment, or, if hired, I will be terminated as a result. I understand that if I am offered or accept a position, the Company reserves and retains the right to make such changes in the terms and conditions of my employment as the Company determines to be necessary or appropriate. I understand that if I am offered and accept a position, such employment is not for any guaranteed length of time and that both the Company and I reserve and retain the freedom to terminate the employment relationship whenever either chooses to do so. Finally. I understand that this application will only be considered by the Company for 30 days after its submission.

Disclosure Statement:
I have read and agree to the above statement:
Type "Yes" if you agree. (Answer Required.)

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