(*Please Fill Out, Print, and Fax to 202-333-0969)

Position(s) Applied for:

First Name:  Last Name:  Phone:

Address:     

City:                State:     Zip Code:  

Are you at least 18 years of age?                                             Yes         No

Have you ever filed an application with us before?                 Yes         No       

Are you currently employed?                                                    Yes         No

May we contact your present employer?                                 Yes         No

On what date would you be available to start?                       

Are you available to work:                              Full Time        Part Time        Temporary

At which location(s) are you able to work?     D.C.         Maryland        Virginia

Have you had experience with a computer?                             Yes           No

Have you had previous retail experience?                               Yes           No

EDUCATION

                                                       
                                          Name and State                         Years       Graduated?         Year             Type of Studies

High School       1 2 3 4 5       Yes No         

College             1 2 3 4 5       Yes No         

Other               1 2 3 4 5       Yes No         

EMPLOYMENT EXPERIENCE            (Please list the most recent employers first)              

Employer   Phone #      Contact  
Dates Employed       From        To   
Address      City       State   
Job Title     Reason for Leaving    
Duties         Starting Salary    Final 

Employer   Phone #      Contact  
Dates Employed       From        To   
Address      City       State   
Job Title     Reason for Leaving    
Duties         Starting Salary    Final 

Employer   Phone #      Contact  
Dates Employed       From        To   
Address      City       State   
Job Title     Reason for Leaving    
Duties         Starting Salary    Final 

Date: ____________________                       Signature:   __________________________

Home