Online Application
Shoe Sensation Application

First Name: Last Name:
SSN:
Are You a Citizen of the US:Yes | No
Street Address:
City:
State:
Zip Code:
Primary Number:
Secondary Number:
E-Mail:
Date of Birth (if under 18):
Have you ever been convicted of a felony:Yes | No
If so, please explain:
NOTE: SHOE SENSATION INC REQUIRES A POLICE BACKGROUND REPORT ON THE FIRST DAY OF EMPLOYMENT.
How did you hear about us:
Employment / Desired Availability

Desired Location:
Position Applying For:
Seeking:
Can you relocate:Yes | No
Are you currently laid off or subject to recall:Yes | No
When can you start:
Please indicate your availability:
MonTueWedThuFriSatSun
From:
To:
Minimum hours desired:
Maximum hours desired:
Previously worked with us:Yes | No
Previous store:
Last day you worked with us:
Education

Are you currently attending school:Yes | No
Highest Completed Education:
High School Name: Address:
College Name: Address:
Trade/Business School Name: Address:
Employment History

Employer's Name:
Phone Number:
Title:
Duties:
From:
To:
Supervisor's Name:
May we contact:Yes | No
Reason for leaving:
Employer's Name:
Phone Number:
Title:
Duties:
From:
To:
Supervisor's Name:
May we contact:Yes | No
Reason for leaving:
Employer's Name:
Phone Number:
Title:
Duties:
From:
To:
Supervisor's Name:
May we contact:Yes | No
Reason for leaving:
References

Name:Phone:
Name:Phone:
Name:Phone:
Agreement

I attest that the information set forth in this application is true and complete to the best of my knowledge. I understand that any misrepresentations or omission either on this application or during the interview process may disqualify me from consideration for employment and will be sufficient cause for dismissal if discovered after i become employed. I understand that consideration for employment is contingent upon verification of the accuracy of the information provided by me on this application. I authorize Shoe Sensation Inc and its representatives to make any inquiry necessary to check information provided by me on this application and during the interview process. I further authorize contact with any of my current or former employers, schools, references, or any other persons or entities whose names i have provided or who may have knowledge about the accuracy of any information provided on this application. I consent to any such person's provision of information about me, and release them from liability and for damages which may arise from providing any information requested. I understand that all employees and candidates being considered for employment are subject to and agree to comply with all requests for drug testing upon notification from their immediate supervisor or the human resources department. I understand that a refusal to comply may result in termination or withdrawal of an offer of employment. In addition, I authorize representatives of Shoe Sensation Inc to conduct a police background check. I agree to take a polygraph test in the event there is a shortage of money or merchandise that cannot be accounted for. I authorize the company to make deductions from my payroll check for money due Shoe Sensation Inc.
By clicking send resume, you consent to this agreement.