BuyFun.com Seasonal Application

*Position:

PERSONAL INFORMATION
*Last Name: *First Name: *Middle:
*Address:   Apt:
*City: *State: *Zip:
*Home Phone: Work Phone: Other Phone:
Email:

Have you worked for BuyFun.com / Costumes Galore Inc before? Yes No  When? Area?
Do you know someone who works here? Yes No  Who?
*Have you ever been convicted of any violation of the law? Yes No    
If Yes: Please list offense(s) and date(s) convicted (and any pertinent explanation) below. You must disclose a felony (not misdemeanor) conviction that has been judicially dismissed pursuant to Penal Code section 1203.4. Do not include traffic citations, arrest that did not result in convictions, any offenses which resulted in referral to or participation in a pretrial or post trial diversion programs. Conviction is not necessarily a bar to employment. Each case will be given individual consideration. However, failure to list all convictions other than those excluded above will be considered fraud in securing appointment will be grounds for termination.
List of offense(s) and date(s) convicted:
 
If applying for Customer Service, how many Words Per Minute (wpm) can you type?
Do you have a valid Drivers License? Yes No
Do you have Forklift Experience? Yes No

HIGHEST LEVEL OF EDUCATION ATTAINED
Name of School Location Degree / Major

AVAILABILITY
Please list ONLY the hours you CAN work - Be sure to note AM/PM
MON TUE WED THUR FRI SAT SUN

REQUEST FOR EMPLOYMENT ACCOMMODATION
You are not required to disclose information about physical or mental limitations that you believe will not interfere with your capability to do the job. However, if you want BuyFun.com to consider special arrangements to accommodate a physical or mental impairment, you may identify that impairment and suggest the kind of accommodation that you believe would be appropriate.
Can you perform the functions of this job, with or without reasonable accommodation? Yes No
If NO, please list below how we can accommodate you.


JOB SKILLS
List job related skills, knowledge, or special training you possess.

WORK EXPERIENCE
Position Title: From:  To: 
Name of Employer: Address: 
Name of Supervisor: Title of Supervisor:  Salary: 
List Duties Performed:
Reason for Leaving:

Position Title: From:  To: 
Name of Employer: Address: 
Name of Supervisor: Title of Supervisor:  Salary: 
List Duties Performed:
Reason for Leaving:

Position Title: From:  To: 
Name of Employer: Address: 
Name of Supervisor: Title of Supervisor:  Salary: 
List Duties Performed:
Reason for Leaving:

AGREEMENT
* I certify that I have read this application and the information on it is complete and correct. I understand that any omissions or misrepresentation of information is grounds for dismissal. I authorize the persons, employers, schools and organizations listed on this application to give you any information and other pertinent information they may have, personal or otherwise, and release all parties from all liability and damages that may result in furnishing this to you. I understand that this employment is at will. This means an employee is free to terminate his/her employment at any time, without any reason, with or without cause and Buyfun.com retains these same rights. I understand that as a part of this procedure for my employment an investigative consumer report may be made concerning my character, general reputation, personal characteristics and mode of living. Upon written request, additional disclosure concerning the complete nature and scope of the investigation will be provided. If I am denied a job based either wholly or in part because of information contained in an investigative consumer report, I will be provided the name and address of the reporting agency that supplies the information.