M A I D E N F O R M, I N C. - RETAIL DIVISION
APPLICATION FOR EMPLOYMENT
Please Print Clearly and Complete Both Sides Of This Employment Application. Applications Will Remain Active For One Month.
MAIDENFORM, INC., is an Equal Opportunity Employer
NAME (Last) (first) (middle) Home Telephone # Business Telephone#
Current Address - Number, Street Previous Address - Number, Street
City State Zip Code City State Zip Code
If you are hired, can you submit 2 pieces of certification q Yes How were you referred to our company?
of your legal right to work in the U.S.? q No
Are you able to perform the essential functions of the position for which you are applying with or without reasonable q Yes
accommodations? (Leave blank if you are unsure of the essential functions or are not applying for a specific position.) q No
Social Security # Position Desired
Are you 18 years of q Yes q Seasonal q FT
age or over? q No q Temporary q PT
Have you ever been employed by a q Yes If you were employed, under what name and what dates?
division of our organization? q No
Do you have any family/household members currently employed at Have you ever been convicted of a crime? If yes, q Yes
Maidenform. If so, list name and location. explain. (A conviction will not constituate an automatic q No
bar to employment.)
LIST IN ORDER OF EMPLOYMENT STARTING WITH YOUR PRESENT EMPLOYMENT. PLEASE ACCOUNT FOR ALL TIME, INCLUDING CURRENT
EMPLOYMENT, MILITARY SERVICE, PART TIME JOBS, AND PERIODS OF UNEMPLOYMENT. IF YOU HELD TWO JOBS AT THE SAME TIME, BE
SURE TO LIST BOTH JOBS, STATE IF ANY OF THESE EMPLOYERS ARE RELATED TO YOU, USE ADDITIONAL SHEETS IF NECESSARY.
DATES TITLE/ REASON FOR
FROM TO EMPLOYER'S NAME, ADDRESS, & PHONE NUMBER SALARY DUTIES LEAVING
q Yes Name & telephone number of current Supervisor:
May we contact your current employer? q No ____________________________________________
REFERENCES (other than relatives)
NAME ADDRESS TELEPHONE NUMBER POSITION RELATIONSHIP TO YOU
NAME AND ADDRESS OF SCHOOL COMPLETED Degree / Diploma
HIGH SCHOOL q YES
COLLEGE q YES
OTHER q YES
OTHER q YES
List the best features of previous jobs: List the worst features of previous jobs:
Briefly describe any special skills, interests, qualifications or experiences which you feel would contribute to your success with MAIDENFORM, INC..
IMPORTANT ( PLEASE READ AND SIGN )
As a condition of application, I give this Company the right to investigate my relevant personal and employment history, agree to cooperate in
such investigation and release from all liability or responsibility all persons, corporations or organizations furnishing such information providing
that any information is held in strict confidence by this company. I authorize MAIDENFORM to secure a consumer report from consumer reporting
agencies as MAIDENFORM deems appropriate.
As a condition of employment, I consent to take a Company paid pre-employment drug test. I certify that to the best of my knowledge the above
statements are correct and complete. I understand that any omission, misstatement or falsification will be cause for rejection of this
application or dismissal after employment.
If employed, I further agree to comply with all company rules, policies and procedures including those pertaining to patent invention matters,
conflicts of interest, health, safety and security.
If requested, I will sign an employee confidentiality agreement in which I agree not to divulge any Company confidential or proprietary information
which I may learn or come into possession of in any manner as a result of my employment with MAIDENFORM. This agreement sets forth the
conditions under which MAIDENFORM is assigned the entire right, title and interest of inventions, ideas, or designs developed while in
I affirm that I have a genuine intent and no other purposes in applying for a job with MAIDENFORM.
I agree that I am an employee at will and regardless of any verbal or written assurance(s) that I have already or subsequently receive, including
but not limited to, any statements contained in any policy manuals, MAIDENFORM, Inc. makes no promises of any kind and remains free to change
wages and all other working conditions without having to consult anyone and without anyone's agreement. MAIDENFORM, Inc. continues to have
the absolute power to fire anyone with or without good cause. Any change in these terms and conditions must be in writing and signed by an
authorized representative of MAIDENFORM.
I CERTIFY THAT I HAVE READ THE ABOVE, UNDERSTAND IT AND AGREE TO IT
Signature of Applicant (Do Not Print) Today's Date
MAIDENFORM, INC., is an equal opportunity employer. ( It is the policy of MAIDENFORM, INC., to give all applicants for employment equal
consideration, regardless of their race, religion, color, sex, sexual orientation, age, marital status, national origin, ancestry, disability, or liability
for armed services of the United States.)
FORM # 707RD (5/8/07)