APPLICATION FOR EMPLOYMENT

Shoe Station is an equal opportunity employer. All applicants will be

considered for employment without attention to race, color, religion,
sex, sexual orientation, gender identity, national origin, veteran or
Personal Information disability status.
Full Legal Last Name Full Legal First Name Middle Date
Okeke Uchendu 10 / 28 /2020
Street Address Home Phone
3226 Dungarvan Drive (850)6684788
City, County, State, Zip Business Phone
Tallahassee, Leon, Florida, 32309 (850)3476959
Have you ever applied for employment with us? Email Address
yes no If yes: Month/Year
Not Applicable uchendu.okeke@gmail.com
Position You Are Applying For Pay Expected

Assistant Store Manager Negotiable

Are you eligible for employment in the United States? Are you 16 or older?
yes no yes no

Have you been convicted of a felony within the last five (7) years?* If yes, please explain.
yes no

Have you been convicted of any act of dishonesty, breach of trust or moral turpitude, such as misdemeanor petty theft,
burglary, fraud, writing bad checks and other related crimes within the last five (5) years? If yes, please explain.
yes no

Do you have other special training or skills (language, machine operation, etc.)? Please explain.
Good communication, leadership and management, planning skills, self management, teamwork and interpersonal skills, and relevant work experience.
How did you learn of our organization?
I worked for Shoe Station long time ago. If I am correct it was in the early 2000's.

*Conviction of a crime will not necessarily disqualify you from the job for which you are applying. Each conviction will
be considered with respect to time, job relatedness and other relevant factors.

Days Available Sun Mon Tues Wed Thurs Fri Sat Total Hours

Hours From 12pm 12pm 12pm 12pm 12pm 12pm 12pm

Available To 9pm 9pm 9pm 9pm 9pm 9pm 9pm

Additional Comments: Days avaliable and hours are negotiable.

Education
School Name & Location Course of Study # of yrs Did you Degree or
Completed Graduate Diploma

High School Lincoln High School Not Applicable 4 yes Diploma

no
College Tallahassee Community College General Education 3 yes A.A. Degree
no
Other Troy University Education/Psychology 2 yes M.S. Degree
no
Which branch would you like to submit this application to (Select all that apply)
Mobile | Pensacola | West Mobile | Eastern Shore | Prattville | Dothan | Jackson | Hattiesburg | D'Iberville| Flowood | Foley
Montgomery | Lafayette | Baton Rouge | Seigen Lane | Opelika | Tuscaloosa | Albany | Tallahassee | Destin | Columbus
Employment History
Please give accurate, complete fulltime employment record. Start with present or most recent employer.
Include military experience if applicable.

Company Name and Mailing Address: Phone

1 Jinzhong University; Yuci - Shanxi Province, China 8615011568935

Job Title Name of Supervisor Employed (Month and Year)
ESL Instructor Zak Pearson From Jul-19 To Dec-2019
Describe your work Hourly rate 11,500 RMB per month
Provide English lessons to University students. Start End
May we contact this employer? If not, please explain Reason for leaving
yes no Tenure was only for 6 months.

Company Name and Mailing Address: Phone

2 Shuangliu Middle School; Chengdu - Sichuan Province, China 8613619293320

Job Title Name of Supervisor Employed (Month and Year)
ESL Instructor Mathew Russell From Mar-2018 To Jul-2019
Describe your work Hourly rate 11,000 RMB per month
Provide English lessons to middle school and primary school students. Start End
May we contact this employer? If not, please explain Reason for leaving
yes no Looking for a new challenge

Company Name and Mailing Address: Phone

3 No. 1 Middle School of Nanchong; Nanchong - Sichuan Province, China alexceng@163.com

Job Title Name of Supervisor Employed (Month and Year)
ESL Instructor Alex Ceng From Sept-2016 To Jan-2018
Describe your work Hourly rate 8,500 RMB per month
Provide English lessons to middle school and primary school students. Start End
May we contact this employer? If not, please explain Reason for leaving
yes no Tenure concluded January 2018

Signature
I declare the information provided by me in this application is true, correct, and complete to the best of my knowledge. I
understand that if employed, any falsification, misstatement or omission of fact in connection with my application, whether
on this document or not, may result in immediate termination of employment.

I authorize the references listed above to give you all information concerning my previous or current employment and any pertinent
information they may have, personal or otherwise and release all parties form liability from any damage that may result
from furnishing the same to you.

I acknowledge that if I become employed, I will be free to terminate my employment at any time for any reason and Shoe Station
retains the same rights. No Shoe Station representative has the authority to make any contrary agreement.

Uchendu Okeke 10/28/2020

Signature Date