IN THE BAG, INC.- APPLICATION FOR EMPLOYMENT
We are an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis protected by law including race, color, age, sex, religion, disability or national origin.


PERSONAL INFORMATION
Name:

*First:   Middle Initial: *Last:

Present Address
Street: City: State: Zip:

Permanent Address
Street: City: State: Zip:
*Phone:
Email:
Referred By: Are you over 18? Yes  No


EMPLOYMENT DESIRED
East Location West Location

Position: Start Date: Salary Desired:

Are You Employed Now? Yes  No
If So May We Inquire of your Present Employer? Yes  No
Ever Applied to this Company Before? Yes  No
     Where? When?


EDUCATION
Grammar School:

Name of School: Location of School:
Did You Graduate? Yes  No

High School
Name of School: Location of School:
Last Year Completed: 1 2 3 4
Did You Graduate? Yes  No

College
Name of School: Location of School:
Last Year Completed: 1 2 3 4
Did You Graduate? Yes  No
Subjects Studied and Degree(s) Received:

Trade, Business or Correspondence School
Name of School: Location of School:
Last Year Completed: 1 2 3 4
Did You Graduate? Yes  No
Subjects Studied and Degree(s) Received:


GENERAL
Subjects of Special Study or Research Work:

Job Related Skills (typing, driver's license, etc.):

Activities Other Than Religious (Civic, Athletic, etc):


FORMER EMPLOYERS
List below your last four employers, starting with the last one first.



Name of Employer: Phone:
Employed: From to
Salary: Position:
Reason for Leaving:



Name of Employer: Phone:
Employed: From to
Salary: Position:
Reason for Leaving:



Name of Employer: Phone:
Employed: From to
Salary: Position:
Reason for Leaving:



Name of Employer: Phone:
Employed: From to
Salary: Position:
Reason for Leaving:



REFERENCES
List below three persons not related to you, whom you have know at least one year.

Name: Phone:
Position: Years Acquainted:
  May we contact? Yes No

Name: Phone:
Position: Years Acquainted:
  May we contact? Yes No

Name: Phone:
Position: Years Acquainted:
  May we contact? Yes No



Names of friends or relatives working for IN THE BAG, INC.?

Any Foreign Languages?

Present membership in National Guard or Reserves? Active Inactive



AUTHORIZATION TO CONDUCT BACKGROUND INVESTIGATION

I HEREBY ACKNOWLEDGE THAT I HAVE APPLIED FOR EMPLOYMENT, OR AM BEING CONSIDERED FOR EMPLOYMENT OR PROMOTION WITH IN THE BAG, INC. I HEREBY AUTHORIZE IN THE BAG, INC. TO CONDUCT A BACKGROUND INVESTIGATION ON ME DURING MY CONSIDERATION FOR EMPLOYMENT OR PROMOTION. I HEREBY RELEASE ALL PARTIES PROVIDING INFORMATION TOIN THE BAG, INC. FROM ALL LIABILITY FOR ANY SUCH EMPLOYMENT DISCLOSURE. I ALSO AUTHORIZE IN THE BAG, INC. TO USE ANY INFORMATION SERVICE, WHICH IT MAY SELECT TO GATHER REPORTS AND OTHER EMPLOYEE INFORMATION INCLUDING TRANSUNION, CBI, TRW, AND ANY AUTHORIZED AGENTS OR OTHER SOURCES WHICH MAY HAVE INFORMATION CONCERNING ME, INCLUDING ALL LOCAL, CITY, COUNTY, STATE AND/OR FEDERAL AGENCIES. I UNDERSTAND THAT THE FINAL DECISION TO OFFER ME EMPLOYMENT, CONTINUE MY EMPLOYMENT, OR TO PROMOTE ME MAY BE DETERMINED, IN WHOLE OR IN PART FROM SUCH REPORTS AND INFORMATION. I HEREBY AUTHORIZE THE COMPANY (AND RELEASE FROM LIABILITY ANYONE PROVIDING IT TO THE COMPANY) TO OBTAIN ANY INQUIRIES AND REPORTS NOW AND AT ANY TIME IN THE FUTURE WHICH IT MAY CONSIDER USEFUL, RELATING TO MY CONSUMER CREDIT, DRIVING, HISTORY, MOTOR VEHICLE RECORDS AND ANY CRIMINAL CONVICTION HISTORY. ALL INFORMATION OBTAINED BY IN THE BAG, INC.WILL BE HELD IN CONFIDENCE FOR ITS USE ONLY.

I AM AWARE THAT CERTAIN TYPES OF CRIMINAL CONVICTIONS ALSO PRECLUDE NEW OR CONTINUED EMPLOYMENT WITH IN THE BAG, INC. I HEREBY AFFIRM THAT ALL STATEMENTS AND REFERENCES I HAVE GIVEN IN CONNECTION WITH MY APPLICATION FOR EMPLOYMENT WITH IN THE BAG, INC. ARE TRUE; AND, IF IT IS LATER DISCOVERED, THAT I HAVE MADE ANY FALSE STATEMENT OR OMITTED ANY PERTINENT INFORMATION, THATIN THE BAG, INC. WILL IMMEDIATELY TERMINATE MY EMPLOYMENT. I ALSO HEREBY VOLUNTARILY CONSENT TO DRUG TESTING PRIOR TO OR DURING MY EMPLOYMENT UPON BIN THE BAG, INC. REQUEST. I ALSO AGREE THAT REFUSAL TO SUBMIT TO DRUG TESTING WILL RESULT IN MY NOT BEING OFFERED EMPLOYMENT OR IN MY TERMINATION, EXCEPT AS PROVIDED BY LAW TO THE CONTRARY.

I RECOGNIZE AND AGREE THAT THIS APPLICATION IS NOT A CONTRACT OR OFFER OF EMPLOYMENT, I FURTHER RECOGNIZE AND AGREE THAT IF I AM EMPLOYED BY IN THE BAG, INC., THE COMPANY MAY TERMINATE MY EMPLOYMENT WITH OR WITHOUT NOTICE AND/OR CAUSE AT ANY TIME, AND AT THEIR WILL. I FURTHER RECOGNIZE AND AGREE IF I AM EMPLOYED BY IN THE BAG, INC, I WILL BE SUBJECT TO ALL ITS RULES AND REGULATIONS TO WHICH I AGREE TO CONFORM, IF HIRED. I ACKNOWLEDGE THAT ALL BUSINESS INFORMATION I RECEIVE AS A RESULT OF ANY JOB I PERFORM FOR IN THE BAG, INC., I WILL TREAT CONFIDENTIALLY AND AS THE EXCLUSIVE PROPERTY OF IN THE BAG, INC. I ALSO AGREE THAT ALL COMPENSATION, BENEFITS, RULES AND REGULATIONS ARE SUBJECT TO CHANGE BY THE COMPANY AT ANY TIME, WITH OR WITHOUT NOTICE TO ME. I ALSO RECOGNIZE AND AGREE THAT IF I AM EMPLOYED BY THE COMPANY, I AGREE IN PARTIAL CONSIDERATION FOR MY EMPLOYMENT, THAT I SHALL NOT COMMENCE ANY ACTION OR OTHER LEGAL PROCEEDING RELATING TO MY EMPLOYMENT OR THE TERMINATION OF MY EMPLOYMENT, MORE THAN SIX MONTHS AFTER THE TERMINATION OF SUCH EMPLOYMENT. I AGREE TO WAIVE ANY STATUTE OF LIMITATIONS TO THE CONTRARY. I FURTHER RECOGNIZE THAT NOTHING IN ANY DOCUMENTS PUBLISHED BY THE COMPANY SHALL IN ANY WAY MODIFY THE ABOVE TERMS AND THAT THESE TERMS CANNOT BE MODIFIED IN ANY WAY BY ANY ORAL OR WRITTEN REPRESENTATIONS MADE BY ANYONE EMPLOYED BY THE COMPANY, EXCEPT BY A WRITTEN DOCUMENT SIGNED BY THE PRESIDENT OF IN THE BAG, INC. AND MYSELF. I FURTHER UNDERSTAND AND AGREE THAT MY EMPLOYMENT IS CONTINGENT ON PROOF OF EMPLOYMENT ELIGIBILITY UNDER THE IMMIGRATION AND NATURALIZATION ACT.

I HEREBY STATE THAT I AM FULLY QUALIFIED AND ABLE TO PERFORM THE DUTIES OF THE POSITION FOR WHICH I HAVE APPLIED FOR EMPLOYMENT. I AM NOT AWARE OF ANY ACCOMMODATION I NEED TO PERFORM MY JOB DUTIES OTHER THAN AS NOTED AT THE BOTTOM OF THIS RELEASE IN THE SPACE PROVIDED.

I HEREBY CERTIFY THAT THE FACTS CONTAINED IN THIS APPLICATION ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. I UNDERSTAND AND AGREE THAT IF I AM EMPLOYED BY IN THE BAG, INC., AND IT IS DETERMINED THAT I HAVE GIVEN FALSE INFORMATION ON THIS APPLICATION, I WILL BE SUBJECT TO IMMEDIATE TERMINATION.

This form has been designed to strictly comply with State and Federal fair employment practice laws prohibiting employment discrimination.