Barnes & Noble College Bookstores Inc Job Application Form (Page 2 of 3) in pdf

LIST ALL EMPLOYERS WITH CURRENT OR MOST RECENT EMPLOYMENT FIRST. GIVE ALL INFORMATION

REQUESTED, EVEN IF DUPLICATED ON YOUR RESUME. LEAVE NO TIME UNACCOUNTED FOR,

INCLUDE

MILITARY SERVICE.

PRESENT/LAST EMPLOYER

DATES EMPLOYED

FROM: _____/_____ TO: _____/______

ADDRESS

POSITION TITLE

SUPERVISOR’S NAME

TELEPHONE NUMBER

BASE SALARY OR WAGE

(

)

START:____________ END:____________

SUMMARY OF DUTIES

DATE OF LAST INCREASE

REASON FOR LEAVING OR SEEKING CHANGE OF POSITION

MAY WE CONTACT PRESENT EMPLOYER?

YES

EMPLOYER

DATES EMPLOYED

FROM: _____/_____ TO: _____/______

ADDRESS

POSITION TITLE

SUPERVISOR’S NAME

TELEPHONE NUMBER

BASE SALARY OR WAGE

(

)

START:____________ END:____________

SUMMARY OF DUTIES

DATE OF LAST INCREASE

REASON FOR LEAVING

EMPLOYER

DATES EMPLOYED

FROM: _____/_____ TO: _____/______

ADDRESS

POSITION TITLE

SUPERVISOR’S NAME

TELEPHONE NUMBER

BASE SALARY OR WAGE

(

)

START:____________ END:____________

SUMMARY OF DUTIES

DATE OF LAST INCREASE

REASON FOR LEAVING

PROVIDE THREE OCCUPATIONAL REFERENCES. IF LIMITED PREVIOUS EMPLOYMENT, LIST THREE PERSONS, NOT RELATED,

WHO HAVE KNOWN YOU FOR SOME TIME. LIST PERSONAL REFERENCES ONLY IF YOU HAVE NO OCCUPATIONAL REFERENCES.

NAME

TITLE

OCCUPATIONAL REFERENCE

PERSONAL REFERENCE

ADDRESS (

PHONE NUMBER

YEARS ACQUAINTED

STREET, CITY, STATE, ZIP)

(

)

NAME

TITLE

OCCUPATIONAL REFERENCE

PERSONAL REFERENCE

ADDRESS (

PHONE NUMBER

YEARS ACQUAINTED

STREET, CITY, STATE, ZIP)

(

)

NAME

TITLE

OCCUPATIONAL REFERENCE

PERSONAL REFERENCE

ADDRESS

PHONE NUMBER

YEARS ACQUAINTED

(STREET, CITY, STATE, ZIP)

(

)

IN ORDER TO CONDUCT REFERENCE CHECKS, PLEASE LIST OTHER NAMES YOU HAVE WORKED UNDER.

IMPORTANT, READ CAREFULLY BEFORE SIGNING:

The filing of an application with Barnes & Noble is a preliminary step to employment. It does not obligate Barnes & Noble to offer employment, or the applicant to accept employment. An offer of

employment, if made, is for employment at will and is not to be constructed as a guarantee of continued employment. Barnes & Noble, reserves the right to terminate the employment of any employee at

any time. Any employee also has the right to terminate his or her employment with Barnes & Noble at any time.

• I authorize investigation of all matters contained in this application which Barnes & Noble may deem relevant to my employment and authorize my previous employers or other persons having

information concerning me or my record to report such information to Barnes & Noble, and such persons are hereby released from all liability for issuing such information. Barnes & Noble will keep all

such information confidential except where such information is required to be released by law or order of a court or other authority. I understand and agree that I will be subject to immediate dismissal

if it is subsequently discovered that the information herein is untrue or that I have failed to disclose a material fact. I understand that if employed by Barnes & Noble, such employment will occur at will

and no contract of employment, expressed or implied, is created and that no representative of Barnes & Noble has any authority to enter into any agreement for employment of any specified period of

time, or to make any agreement contrary to the foregoing. I understand that if I receive an offer of employment and I accept the position, I will be required to complete additional information necessary

for the Company record keeping requirements.

• NOTICE TO APPLICANTS AS REQUIRED BY THE FAIR CREDIT REPORTING ACT

As part of our employment process, an investigative consumer report, as governed by the Fair Credit Reporting Act or any similar state or local statute, may be requested.

However, requests will not be made without your prior written authorization.

• NOTICE TO APPLICANTS IN MASSACHUSETTS

IT IS UNLAWFUL IN MASSACHUSETTS TO REQUIRE OR ADMINISTER A LIE DETECTOR TEST AS A CONDITION OF EMPLOYMENT OR CONTINUED EMPLOYMENT. AN EMPLOYER WHO

VIOLATES THIS LAW SHALL BE SUBJECT TO CRIMINAL PENALTIES AND CIVIL LIABILITY.

• NOTICE TO APPLICANTS IN MARYLAND

UNDER MARYLAND LAW AN EMPLOYER MAY NOT REQUIRE OR DEMAND, AS CONDITION OF EMPLOYMENT, PROSPECTIVE EMPLOYMENT OR CONTINUED EMPLOYMENT, THAT AN

INDIVIDUAL SUBMIT TO OR TAKE A LIE DETECTOR TEST. AN EMPLOYER WHO VIOLATES THIS LAW IS GUILTY OF A MISDEMEANOR AND SUBJECT TO A FINE NOT EXCEEDING $100.

MY SIGNATURE CERTIFIES THAT I HAVE READ AND AGREE WITH THE ABOVE STATEMENTS.

___________________________________________________________

_____________________

SIGNED _

DATE: