Harold's Photo Employment Application
Date:
Name:
Address:
City:
State
Zip: -
Day Phone: - -
Evening Phone: - -
Email:
Position Applied For:
 Full Time  Part Time  Seasonal
If Part Time, how many hours/week: 
Hours Available:
 Day  Evening  Weekend
Sales and lab positions require some evening and weekend availability.
Date Available to start:
Wage Expected:
Location you are interested in working at:
 
High School
School Name:
Location:
Check Last Year Completed:
 8  9  10  11  12
Degree?  Yes   No
 
College/Trade School
School Name:
Location:
Check Last Year Completed:
 1  2  3  4  5
Degree?  Yes   No
Please list any other education, computer skills, experience, activities, licenses, or training pertinent to your application:
List employment history in order of your most recent employers. You may include volunteer activities and military service.
Most Recent Employer:
Location:
Phone: - -
Start Date:  (mm/dd/yyyy)
End Date:  (mm/dd/yyyy)
Most Recent Wage:
Position Held:
Duties and Responsibilities:
Reason for leaving:
Did you voluntarily resign?  Yes   No
If no, explain:
Supervisor and Title:
Supervisor's Phone: - -
Employer:
Location:
Phone: - -
Start Date:  (mm/dd/yyyy)
End Date:  (mm/dd/yyyy)
Most Recent Wage:
Position Held:
Duties and Responsibilities:
Reason for leaving:
Did you voluntarily resign?  Yes   No
If no, explain:
Supervisor and Title:
Supervisor's Phone: - -
Employer:
Location:
Phone: - -
Start Date:  (mm/dd/yyyy)
End Date:  (mm/dd/yyyy)
Most Recent Wage:
Position Held:
Duties and Responsibilities:
Reason for leaving:
Did you voluntarily resign?  Yes   No
If no, explain:
Supervisor and Title:
Supervisor's Phone: - -
Have you ever been convicted of a crime (a conviction will not necessarily bar you from employment)?
 Yes  No
Harold’s Photo Centers regularly checks employment references. May we contact your present employ
 Yes  No
If you were referred by a Harold’s employee, please list their name below.
I certify that the information stated herein and on the accompanying resume, if provided, is true and complete to the best of my knowledge. I authorize investigaton of all statements contained in this application. I also authorize all references and former employers listed to provide to the company any and all information concerning my previous employment and other pertinent information they may have, as may be necessary in arriving at an employment decision. I release all parties from all liability for any damage that may result from furnishing same.

In the event of employment, I understand that false or misleading information given in my application, resume, or interview(s) may result in discharge. I also understand that I am required to abide by all rules and regulations of the company, and that Harold’s Photo Centers is a smoke free environment. I understand that if I am employed, such employment is for no fixed term and that the company may terminate my employment with or without good cause. I also understand that Harold’s Photo Centers can change wages, benefits, and all other working conditions at any time without prior notice.
 Yes  No
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