Babies R Us

Employment Application
Applicant Information
M

White

Full Name:

KRIS

Last

Address:

Date:

First

M.I.

707 Pueblo Trail

Street Address

Phone:

Apartment/Unit #

Birmingham

Alabama

35214

City

State

ZIP Code

205 480 3197

Date Available:

ASAP

Email Kriswhitejcboe.k12.al.us
Social Security No.:1234567

Desired Salary:$8.98

Position Applied for: Merchandise

Are you a citizen of the United States?
Have you ever worked for this company?
Have you ever been convicted of a felony?

YES

NO

YES

NO

YES

NO

If no, are you authorized to work in the U.S.?

If yes, when?

If yes, explain:

Education
High School:
From:

Address: 2285 Minor Pkwy, Adamsville, AL 35005

Minor

2015

To:

Did you graduate?

College:

YES

NO

YES

NO

YES

NO

Diploma::

Address:

From:

To:

Did you graduate?

Other:

Degree:

Address:

From:

To:

Did you graduate?

Degree:

References
Please list three professional references.
Full Name: Cotrell
Company:

Relationship:Teacher

Minor Staff

Phone:1234567

Address:
1

YES

NO

Full Name: Chris Jones

Relationship:Counselor

Company:

Phone:4354654

Address:
Full Name: Mrs Green
Company:

Relationship:Teacher

Minor Staff

Phone:

Address:

Previous Employment
Company:

Phone:

Address:

Supervisor:

Job Title:

Starting Salary:$

Ending Salary:$

Responsibilities:
From:

To:

Reason for Leaving:

YES

May we contact your previous supervisor for a reference?

NO

Company:

Phone:

Address:

Supervisor:

Job Title:

Starting Salary:$

Ending Salary:$

Responsibilities:
From:

To:

Reason for Leaving:

YES

May we contact your previous supervisor for a reference?

NO

Company:

Phone:

Address:

Supervisor:

Job Title:

Starting Salary:$

Ending Salary:$

Responsibilities:
From:

To:

Reason for Leaving:

YES

May we contact your previous supervisor for a reference?

NO

Military Service
Branch:

From:

Rank at Discharge:

To:

Type of Discharge:

If other than honorable, explain:

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or
interview may result in my release.
Signature:

Kris White

Date: