Application for Employment
Please complete all requested information.
Today's Date_______/_______/_______
Name: __________________________________________________________
Street Address: ___________________________________________________
Position Desired: ________________________________________
City: _____________________ State: _____________ Zip :_______________
Date Available to Start :___________/____________/___________
Telephone: (_________)____________________________________________
Minimum Wage Desired: $________________________ /per hour
Email Address: ___________________________________________________
Have you ever applied to or worked for Zumiez, Inc. in the past? Yes / No
If yes, what store? ___________________________ When?________/________/________
In case of emergency, notify:___________________________________ Relation:____________________________________________
Telephone:(_____)_________________
Have you been convicted, pled guilty or no contest, or forfeited bond or collateral on a felony or misdemeanor? Yes / No . If yes, please list all crimes and attach an explanation.
(Do not include convictions for which the record has been sealed, expunged or eradicated. Do not answer this question if seeking employment in Hawaii. If you are subsequently
offered employment, you may be required to answer this question at that time. For job openings in California, do not include marijuana convictions identified in Cal Labor Code 432.8
that are more than two years old). A criminal history will not necessarily bar you from employment. We will consider the nature of the crime, nature of the job, length of time since the
crime, and evidence of rehabilitation. If Yes, state details:__________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________________________
If you are under the age of 18, you may be required to submit a minor work permit.