Vanity Store Employment Application
An Equal Opportunity Employer
General Information. Please complete all requested information. clearly.
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Work Experience. List your previous experience, beginning with your current or most recent position.
Yes No
Yes No
References. Individuals not related to you. Business references preferred.
Availability. List specific hours you are available to work per week (indicate am/pm).
What date would you be able to start?    Number of hours available per week?

I certify that the answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment, including current and past employment, education, background history, and criminal history. I hereby expressly release from liability all persons, companies, corporations, and schools supplying information. I understand and authorize background checks on employment, education, references and criminal history. I understand that upon my written request, I will be informed whether a criminal report was sought and if used in my employment decision, I will receive a copy of the criminal report. I acknowledge that a fax or photocopy of this release shall be as valid as the original. I hereby authorize, without reservation, any law enforcement agency, school, employer, or reference to furnish the requested information to Vanity or its vendor. I understand that I can revoke this authorization at any time in writing. Such written revocation is not valid until received by Vanity Human Resource Director. I hereby understand that any employment relationship with Vanity is "at-will," which means that 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 "at-will" employment or any other agreement involving Vanity may not be changed unless specifically acknowledged in writing by Vanity's President. In the event of employment, I understand that any falsification or omission of information given in my application or interview(s) is immediate grounds for dismissal. I also understand that I am required to abide by all rules and regulations of Vanity. I understand and agree that Vanity corporate office is located in North Dakota and that North Dakota law is the governing law for the application, hiring and employment process. I hereby agree to the use of electronic records and electronic signatures for any transactions with Vanity that may require my signature.

Electronic Signature of Applicant    Date

Applicant Data Survey
We consider applicants for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status, the presence of a nonjob- related medical condition or handicap, or any other legally protected status.
Referral Source
Government Employment Agency
Name of source (if applicable)

As required, we comply with government regulations, including Affirmative Action obligations where they apply. In an effort to comply with requirements regarding government recordkeeping, reporting and other legal obligations, we ask that you complete this applicant data survey. Your cooperation is appreciated. This survey is not a part of you official application for employment. It is considered confidential information that will not be used in any hiring decision. Completion of the following information is voluntary.

Race/Ethnic Group:
Hispanic or Latino
Black or African American
American Indian/Alaskan Native
Native Hawaiian or Pacific Islander
Two or More Races
Check if any of the following are applicable:
Veteran of Foreign Wars (please list:) 
Disabled Veteran
Handicapped individual
Add Resume