EMPLOYMENT APPLICATION

Name: __________________________________________________________ Preferred Name: ______________________________

Last First MI

Email Address: ____________________________________________________________________ Preferred Pronoun: ____________

Contact Phone Number: _________________________________ Alternate Phone Number: ______________________________

Address: _____________________________________________________________________________________________________
Street City State Zip Code

How long have you lived at this address? _________ What languages do you speak?_________________________________________

What hobbies, skills or knowledge will you bring to Vroman’s? _________________________________________________________

If you are under age 18, do you have a work permit? _____________

Position Desired: ______________________________________ Wage Requirements: ___________________________

Which of the following stores or departments are you interested in working?

 Vroman’s Bookstore on Colorado Blvd  Vroman’s Hastings Ranch on Foothill Blvd  Book Soup, West Hollywood

 Accounting  Customer Service  Receiving  Administration (Buying, Promotions, Office)

Type of Employment desired:

 Full Time (30 hrs+) _______Hrs  Part Time _______Hrs  Seasonal From: ________ To: _________

Do you have any travel plans scheduled or tentatively planned for November or December? ____________
If yes, please elaborate _________________________________________________________________________

Date available to start work: __________________________________

Have you ever applied here before? ________________________ When: _____________________________________________

Have you worked for our company before? _____________

If yes, dates employed: _______________________________________ Supervisor: __________________________________

Are you related to anyone in our employ? _______________ Name: ____________________________________________________

Were you referred? _________________ If so, by whom: ____________________________________________________________

How many days of work did you miss last year, other than for an approved leave or vacation? _______________________

Reasons (If absences were medical, please only indicate “medical reasons” or “sick days”. Do not provide specific medical

conditions.):___________________________________________________________________________________________________

Do you have experience working on a cash register? _____________

Why would you like to work at Vroman’s? What are your expectations of having a job here?
_____________________________________________________________________________________________________________
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On a scale of 1-10 with 10 being the luckiest, how lucky do you consider yourself to be in life?
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________

What is the most important thing you look for in a job?

___________________________________________________________________________________________
___________________________________________________________________________________________
How do you handle conflict? Describe a recent experience that was negative. How did you deal with that situation? What would you
do differently?
___________________________________________________________________________________________
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What are some of the things your last employer could have done to be more successful?
___________________________________________________________________________________________
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What are some of the things your last employer could have done to keep you?
___________________________________________________________________________________________
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What three adjectives would your past employers use to describe you?
______________________ ____________________________ _________________________
What was the last book you read? What books or other products that Vroman’s carries would you recommend?
___________________________________________________________________________________________
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What kind of work environment do you thrive in? What kind of work environment are you uncomfortable with?
___________________________________________________________________________________________
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What would you do if you witnessed a fellow employee stealing?

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 Education

High School
School Did you Grade Point
City, State graduate? Average
Last Year Completed Courses you liked best
 8  9  10  11  12
Extra Activities/Honors

College  Full Time  Part Time

School Degree Grade Point

City, State Received Average
Last Year Completed Major / Minor Courses
 FRESH  SOPH  JR  SR
Extra Activities/Honors

What plans do you have for continuing your education?

Employment History
Begin with your most recent employer. Include all employment for the past 10 years. This can include unpaid and volunteer work,
please indicate if it is. List any periods and reasons for self-employment and / or unemployment. Use additional pages if necessary.

Dates: Employer: Location: Phone:

Job Title: Supervisor: May we contact this employer for a

reference?  Yes  No
Experience Learned: Reason for Leaving:

Would you work here again? If no, why not?

 Yes  No

Dates: Employer: Location: Phone:

Job Title: Supervisor: May we contact this employer for a

reference?  Yes  No
Experience Learned: Reason for Leaving:

Would you work here again? If no, why not?

 Yes  No

Dates: Employer: Location: Phone:

Job Title: Supervisor: May we contact this employer for a

reference?  Yes  No
Experience Learned: Reason for Leaving:

Would you work here again? If no, why not?

 Yes  No

Dates: Employer: Location: Phone:

Job Title: Supervisor: May we contact this employer for a

reference?  Yes  No
Experience Learned: Reason for Leaving:

Would you work here again? If no, why not?

 Yes  No
 References
Please list at least 3 people not related to you whom you have known at least 1 year. Please include at least 1 business reference.
Name Phone Personal / Business Years Acquainted

Hours of Availability

The following are the hours I am available. I understand that my employment is based on the hours I am available. If there is any
change in the hours I am available to work, it is my responsibility to complete a new form and advise my supervisor. I also understand
it will be considered a voluntary resignation if the change in my hours of availability is not compatible with the business needs of
Vroman’s. Please note weekend hours are generally required. Stores are generally open 9 am – 10 pm, work hours range from 7 am –
10:30 pm depending on job and the day. Applicants with full availability are given priority.

Monday Tuesday Wednesday Thursday Friday Saturday Sunday

Begin at:

End at:
Total
Hours

In connection with your Application for Employment with Vroman’s, or if hired, at any time during your
employment, Vroman’s may conduct an investigation seeking information about you and your
background.

I certify that answers given herein are true and complete to the best of my knowledge. I authorize
investigation of all my statements contained within this application for employment as may be necessary in
arriving at an employment decision. I hereby understand and acknowledge that, any employment
relationship with this organization is of an “at will” nature, which means the Employee may resign at any
time and the Employer may discharge Employee at any time with or without cause. It is further
understood that this “at will” employment relationship may not be changed by any written document or
by conduct. Only the President of this organization has the authority to enter into an agreement for
employment for any specified period of time which is binding only if it is in writing and signed by the
President. In the event of employment, I understand that false or misleading information given in my
application or interview may result in discharge. I also understand that I am required to abide by all rules
and regulations of the employer.

Signature: _____________________________________________________ Date: ____________________

This company reserves the right to conduct pre-employment and employment drug testing for illegal drugs. Qualified applicants receive consideration for
employment without discrimination based on age, disability, genetic information, sexual orientation, national origin, pregnancy, race, ancestry, perceived
pregnancy, color, marital status, medical condition, religion, gender, gender identity, citizenship, breastfeeding, medical conditions related to breastfeeding, or
any other characteristic protected by state or federal law.