My Cecile Boutique

Last Name

First Name

Date of Application

Date of Birth

Email

Address

City

State

ZIP

Phone Number

High School

Graduation Date

Instagram

Facebook

Are you a citizen of the United States?

Yes No

If no, are you authorized to work in the U.S.?

Yes No

Have you ever been convicted of a felony?

Yes No

If yes, explain

January-June Availability

Potential Start Date

Parent/Guardian Last Name

Parent/Guardian First Name

Parent/Guardian Relation

Parent/Guardian Email

Have you ever been employed?

Yes No

Place of Employment

Hire Date

Position

Employer

Responsibilities

Reason for Leaving

May we contact your previous employer for a reference?

Yes No

Extracurricular Activities

Why do you want to work at Cecile Boutique?

What makes you most interested about the fashion industry?