Personal Information

Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Home Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Cell Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Are you 18 years of age or older? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{ binding displayValue, mode=oneTime }

Can you provide verification of your legal right to work in the U.S.? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{ binding displayValue, mode=oneTime }

Where Did you hear about us? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

If employee, please list name here. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Have you ever been convicted of a felony? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{ binding displayValue, mode=oneTime }

If yes, please explain {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Do you have reliable transportation to get to work? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{ binding displayValue, mode=oneTime }

Availability

Position(s) you are applying for: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{ binding displayValue, mode=oneTime }

Total Available Work Hours Per Week {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Date Available to Start {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Weekly Availability - please indicate the hours you are available to work each day

Monday {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Tuesday {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Wednesday {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Thursday {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Friday {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Saturday {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Sunday {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Education

Where did you go to High School? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Current Grade {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{ binding displayValue, mode=oneTime }

Where did you go to college? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Degree Earned {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Rate Yourself

Please use the following ratings for each statement

1=I’m terrible
2=I’m OK
3=I’m pretty good
4=Yeah, that’s me!
5=I’m-the-bomb.com

Rating Scale {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

	1	2	3	4	5
{{ $context.parentContext.dataItem.get_label() }}	{ binding displayValue, mode=oneTime }

{{ $context.parentContext.dataItem.get_label() }}	{ binding displayValue, mode=oneTime }

{{ $context.parentContext.dataItem.get_label() }}	{ binding displayValue, mode=oneTime }

{{ $context.parentContext.dataItem.get_label() }}	{ binding displayValue, mode=oneTime }

{{ $context.parentContext.dataItem.get_label() }}	{ binding displayValue, mode=oneTime }

{{ $context.parentContext.dataItem.get_label() }}	{ binding displayValue, mode=oneTime }

Work History

Starting with your most recent job, list present and past employment.

Previous Employer {binding ItemNumber}

Company Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Dates Employed {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Position Title {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Starting Wage {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Ending Wage {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Reason for Leaving {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

An Equal Opportunity Employer

We are an equal opportunity employer

In compliance with the Civil Rights Act, the policy of this company prohibits discrimination in employment because of race, color, religion, national origin, veteran status, sex, age or handicap/disability. Please verify your understanding of the following statements by selecting yes for each statement

Statement #1 {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{ binding displayValue, mode=oneTime }

I certify that all answers given by me are true, accurate and complete. I understand that the falsification, misrepresentation or omission of fact on this application (or any other accompanying or required documents) will be cause for denial of employment or immediate termination of employment, regardless of when or how discovered.

Statement #2 {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{ binding displayValue, mode=oneTime }

I authorize Franklin Lanes to make such investigations and inquiries of information provided herein (and attached hereto), and other matters related thereto as may be necessary. I release Franklin Lanes and its officers and employees from all liability in connection with these actions. I hereby release Franklin Lanes officers, employees, and representatives, franchisees and licensees, employers, schools and other persons, institutions, or businesses responding to investigations or inquiries from all liability and responding to inquiries in connection with my application for employment.

Statement #3 {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{ binding displayValue, mode=oneTime }

I understand that nothing in this application, or in any prior or subsequent written or oral statement, creates a contract of employment or any rights in the nature of a contract. I agree and understand that if I am hired by Franklin Lanes, my employment will be at-will, for an indefinite period of time, and may be terminated at any time, with or without cause or notice, at the option of Franklin Lanes or myself. I understand that I have the right to end my employment at any time and that Franklin Lanes retains that same right. I further understand and agree that nothing in this application is intended as, or shall constitute a contract or guarantee of employment.