My Cecile Boutique

Last Name

First Name

Date of Application

Date of Birth

Email

Address

City

State

ZIP

Phone Number

Current School

High School (If Different from Current 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?