Careers

Full Name

Today's Date

Complete Address

Phone Number

Email

How Did You Hear About Samila's?

Interested In

Postion You Are Applying For?

When Can You Start?

Desired Pay

You can physically stand on your feet for long periods of time and able to lift to 25 lbs

Yes No

Do you have a reliable source of transportation?

Yes No

Weekends (9am-6:30pm) are mandatory. Specify hours available for each day of the week:

Education

If Other, specify education level

Did You Graduate

Yes No

List skills relevant to the position applied for

Current/Former Employers

Please Provide 3 References

Have you ever visited Samila Bridal and Formal? When? Describe your experience:

What do you like about Samila Bridal and Formal?

Why would you like to work at Samila Bridal and Formal?

Do you have Retail experience? If not, why do you think you would be a good fit?

Describe a specific situation where you have provided or received excellent customer service.

Important: Disclosure, Acknowledgement, Authorization and Release

By signing this application, I promise that the following information in this Employment Application (and accompanying resume or documentation, if any) is true and complete, and I understand that any false or misleading information or significant omissions may disqualify me from further consideration for employment and may lead to my dismissal from employment, if discovered at a later date. I agree to immediately notify Samila Boutique if I should be convicted of a felony, any crime involving dishonesty, breach of trust, controlled substances, sexual misconduct, abuse or violence, while my job application is pending or during my period of employment, if hired.

I authorize Samila Boutique, the company I am applying to work with, to investigate any of the information contained in this application, including the examination of past employment records, references, and other facts stated on this application. I further authorize all individuals and organizations named in this application to provide Samila Boutique all information relative to such verification. I hereby release such individuals and organizations and Samila Boutique from any and all liability for any claim or damage resulting therefrom.

I understand that neither this application nor anything conveyed during the interview process, if granted, is intended to create a contract of employment. I understand that, if hired, I am obliged to comply with any and all current and subsequently adopted Samila Boutique) policies. I understand and agree that, if hired, my employment is at-will, meaning that it is for no definite period of time, and may, regardless of the date of payment of my wages or salary, be terminated at any time for any reason, with or without notice. I understand that no person is authorized to change any of the terms mentioned in this employment application and that no manager or representative of the Company, other than Samila Boutique President or Ownership, have any authority to enter into an agreement with me for employment for a specified period of time. I further understand that any such agreement, if made, shall not be enforceable unless it is in writing and signed by me and the Company's President or Ownership.

I also understand that as a condition of employment, if hired, I will be required to provide evidence of identity and employment eligibility in the United States.

I understand that as a part of my application for employment, I must sign a release of information authorization. This is to allow the Company to verify my references and, in the Company's discretion, to perform other background investigations to determine my qualification for employment. The Company may investigate my academic credentials, prior employment, personal/professional references, motor vehicle record and/or criminal record.

Applicant Signature

Date

Preparer and/or Translator Certification (To be completed and signed if application is prepared by a person other than the applicant.) I attest, under penalty of perjury, that I have assisted in completion of this application and that to the best of my knowledge the information is true and correct.

Preparer and/or Translator Signature

Application Date

By submitting this form, I confirm that I have already sent my video to the designated phone number provided. I understand that my submission cannot be reviewed or processed until the video has been successfully received.