First Name Middle Name Last Name Address City Name State Zip Social Security Number Date of Birth Sex---MaleFemale Nationality Were you referred here? Applicant Position If hired,when are you available to start? Desired Position---Full TimePart Time Desired Wages (USD) Are you currently employed? YesNo Are you legally eligible for employment in the US? YesNo Do you have your own transportation? YesNo Are you willing to work while standing? YesNo Are you flexible to work days,nights,weekends including Sundays and holidays? YesNo How long do you expect to work for us if hired? Worked in a mall before? Any family member currently in jewelry business? If so, where? What do you like most about your last / current job? What aspects did you like the least about your last / current job. Describe your ideal job: What motivates you? How do you want to improve yourself within the next year? Please list any specialized skills,training, certification,including any foreign languages spoken fluently, that you consider applicable for this job: Professional References Education High School College/University College/University Trade/Business Others Work Experience-01 Work Experience-02 Work Experience-03 If hired, what are your expectations of our company? If hired, what could we expect of your performance? When I contact your previous employer,what will they tell me about your performance? What will they say needs improvement? Have you ever been discharged from a job or asked to leave a position?If yes,please provide details: Have you been convicted of a crime within the last ten years?A yes answer will not necessarily disqualify you from employment,since the nature of the offense, date, and type of job for which you are applying will be considered.If yes,please explain. I understand that no such promise or guarantee is binding upon the Company unless made by the Company President in writing prior to the date of this application.I understand that my employment is terminable “at will”,that is,the Company retains the right to terminate my employment at any time, with or without cause and without notice. Signature Date