Camera Comapny On-Line Application

Applicant Information

First Name	Last Name	Middle Initial	Social Security Number
			--

Street Address		City	State	Zip


Home Phone Number	Business Phone Number
()--	()--

Type of Work Desired (check one)

Retail Sales	Photofinishing	Digital Imaging

Other (please specify below)

Employment Information

Employment History (Please complete even if sending resume). List most current job first.

1. Company Name	Company Address		Company Phone	Ext
			()--
Name of Supervisor	May we contact him/her?	If Yes, at what phone number?
	Yes No	()-- ext

Job Title and Description:
Reason for leaving: l

Weekly Pay Starting	Weekly Pay Ending	Employed From
		to

2. Company Name	Company Address		Company Phone	Ext
			()--
Name of Supervisor	May we contact him/her?	If Yes, at what phone number?
	Yes No	()-- ext

Job Title and Description:
Reason for leaving: l

Weekly Pay Starting	Weekly Pay Ending	Employed From
		to

3. Company Name	Company Address		Company Phone	Ext
			()--
Name of Supervisor	May we contact him/her?	If Yes, at what phone number?
	Yes No	()-- ext

Job Title and Description:
Reason for leaving: l

Weekly Pay Starting	Weekly Pay Ending	Employed From
		to

Additional Qualifications

List any business machines that you are capable of operating and any other special skills relevant to the position you are applying for (check all that apply):
Calculator	Typewriter	Cash Register	Word Processing
PC	Mac	Software Trained in:
		Other:

List any hobbies, interests, or honors which have direct bearing on the position you are applying for (please note that you are not required to list any information which might reveal your race, religion, sex, or nation origin).


What interests you in applying with The Camera Company?

Education

References (please do not list family members)

1. Name	Company	Phone	Relationship
		()--
2. Name	Company	Phone	Relationship
		()--
3. Name	Company	Phone	Relationship
		()--

Applicant's Statement (Please read carefully)

I hereby certify that all of the information contained in this application is complete and accurate to the best of my knowledge. I understand that if employed, omissions or false or inaccurate statements on this application or the Loss/Prevention interview may result in dismissal.

I hereby authorize all prior employers, schools, credit bureaus, Social Security Administration, law enforcement agencies, and investigative agencies to give The Camera Company any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, concerning my qualifications for the position applied for. I release all persons or entities from all liability for any damage that may result from furnishing information to The Camera Company. I also release The Camera Company and all of its employees from all liability for any damage that may result upon reliance on the information furnished. I understand that if a consumer investigative report is requested, I have a right under the Fair Credit Reporting Act to request in writing, within a reasonable time, a complete and accurate disclosure of the nature and scope of the investigation. This written request should be addressed to the location where this application is filed.

If employed by The Camera Company, I agree to abide by its policies, rules, and regulations. I understand and agree that my employment is at-will, and therefore, my employment and compensation can terminate at any time, at my option or at the option of The Camera Company. I further understand and agree that this at-will employment will remain in effect throughout my employment with The Camera Company or any of its affiliated companies, unless it is modified by a specific written employment contract for a special duration which is signed by an officer of The Camera Company, at the level of Vice President or above and me. This at-will employment relationship may not be modified by any oral or implied agreement.

If you understand and agree to all provisions outlined herein, please enter your email address below and submit this application.

Please enter your email:

Desired Employment (check one)		Can you work: (check all that apply)
Full Time (37 hrs./week or more)		Weekends
Part Time		Evenings
Seasonal (Holidays or Summer)

Dates Available: From to .
Desired Location:
Salary Desired: $/hr		Current Wages: $/hr

Are you currently working?	Yes No
Have you ever applied at The Camera Company before?	Yes No
Have you ever worked at The Camera Company before?	Yes No
	If so, when?

Do you have friends or relatives employed at The Camera Company?	Yes No
	If Yes, who?

Are you 18 years or older?	Yes No
Are you eligible to work in the United States?	Yes No
If yes, do you have a work permit?	Yes No
Have you ever been convicted of a crime?	Yes No
	If so, please explain:

Last Year of Education completed:
1. High School attended	1. High School address	Check Years Completed	Degree Received
		9 10 11 12
2. High School attended	2. High School address	Check Years Completed	Degree Received
		9 10 11 12
3. College Attended	3. College address	Check Years Completed	Degree Received
		13 14 15 16+
4. College Attended	4. College address	Check Years Completed	Degree Received
		13 14 15 16+

List any other special classes you have completed in photography, business, sales, computers, or other areas that would pertain directly to the position you are applying for: