The Kids Closet

www.thekidscloset.net
130 S. John Street
Rochester, IL 62563
1-888-KDS-CLST
1-888-537-2578
info@thekidscloset.net

Interested in working for The Kids Closet?
Simply fill out the form below and your application will be sent in for review

We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital, or veteran status

PERSONAL INFORMATION

Name
Address
City
Zip	Phone ex: 217-123-4567
If you are under 18 years of age, can you provide required proof of your eligibility to work? yes no
Are you a U.S. citizen or an alien authorized to work in the United States? yes no
Have you been convicted of a crime within the last 7 years? yes no If "yes" please explain:
Do you have any physical limitations that could prevent you from coming to work? yes no If "yes" please explain:

. EMPLOYMENT DESIRED

Position Interested In
Date You Can Start
Are You Currently Employed yes no If "yes", may we inquire of your present employer? yes no
List days and hours you are available to work:

EDUCATION

Highest Grade Completed
Subjects You Liked Best:
Special Skills and Interests:
Activities and Clubs:

EMPLOYMENT EXPERIENCE
start with most recent work

Employer Worked From to

Address Phone ex: 217-123-4567

Starting Pay Ending Pay Supervisor Name

Work Performed:

Reason for Leaving

Employer Worked From to

Address Phone ex: 217-123-4567

Starting Pay Ending Pay Supervisor Name

Work Performed:

Reason for Leaving

Employer Worked From to

Address Phone ex: 217-123-4567

Starting Pay Ending Pay Supervisor Name

Work Performed:

Reason for Leaving

Which of these jobs did you like best?
Why?

REFERENCES
List people NOT related to you

Name Address Phone
Name Address Phone
Name Address Phone

WILLINGNESS CHECKLIST
Part of the activities required to maintain and operate a retail store involve duties or tasks that are overlooked when describing a specific job. Please indicate your feelings regarding these tasks and duties below:

Would you be willing to:
...stock and dust store fixtures?	yes no maybe
...mop floors?	yes no maybe
...freshen and replace displays?	yes no maybe
...price merchandise?	yes no maybe
...clean the bathrooms?	yes no maybe
...vacuum the floors?	yes no maybe
...unload the truck?	yes no maybe
...not smoke in the floor?	yes no maybe
...climb a ladder?	yes no maybe
...stand on your feet long periods of time?	yes no maybe
...operate a calculator?	yes no maybe
...operate a computerized register?	yes no maybe
...clean windows?	yes no maybe
...work weekend and evening hours?	yes no maybe
...deposit money in a bank?	yes no maybe
...move boxes and stock safely?	yes no maybe
...make phone calls to people you don't know?	yes no maybe

State any additional information you feel may be helpful to us in considering your application:

I certify that the facts contained in this application are true to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.