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Who are you?
Full name *
Phone (home)
Phone (mobile)
Email Address
Address
House Name/Flat Number:
Address: *
Address Line 2:
Town/City:
Country:
Post Code:*
Which position are you applying for?
Sales Advisor (part time)
Sales Advisor (full time)
Supervisor
Store Manager
Deputy Manager
Assistant Manager
Other
Job Reference No
Which Store(s) are you interested in working in?
All about you
What qualifications do you have?
Employment History
Date from
Date to
Employer
Job title & brief description
Date from
Date to
Employer
Job title & brief description
Date from
Date to
Employer
Job title & brief description
Date from
Date to
Employer
Job title & brief description
Do you drive?
Yes
No
National Insurance Number
When can you work?

Monday

Morning Afternoon Evening Any

Friday

Morning Afternoon Evening Any

Tuesday

Morning Afternoon Evening Any

Saturday

Morning Afternoon Evening Any

Wednesday

Morning Afternoon Evening Any

Sunday

Morning Afternoon Evening Any

Thursday

Morning Afternoon Evening Any
How many hours can you work per week?
Are you prepared to work additional hours when Republic require?
Yes    No
References
Name of referee 1
Employer
Address
Postcode
Phone number
Name of referee 2
Employer
Address
Postcode
Phone number
A bit more about you
Why fashion?
Why Republic?
What were your first impressions of the Republic store? *
How would your best friend describe you? *
How would your employer describe you? *
Why should we employ you?
Please read carefully

I confirm that the information I have given is correct and that any misleading or untrue information may result in the rejection of my application or withdraw of any employment contract offered or, if employed, dismissal without notice. I also confirm that I am aged 16 or above.