PrePlayed in Green Bay Wisconsin. We buy and sell used CDs, used DVDs, and used video games.

Application for Employment at PrePlayed

First Name *
Middle Initial *
Last Name *
Telephone *
Present Address
City
State
Zip
Referred by Advertisement Agency Person Other
Are you legally eligible for employment in the U.S.A.? Yes No
Date of Birth *
Position applying for
Salary expected
Are you available to work Full-Time Part-Time

Specify schedule limitations NOT AVAILABLE TO WORK

Monday	Tuesday	Wednesday	Thursday	Friday	Saturday	Sunday

Available Anytime	Available Anytime	Available Anytime	Available Anytime	Available Anytime	Available Anytime	Available Anytime

Date available for work
List friends or relatives in our employ
Were you previously employed by us Yes No
If yes, when
Other name(s) used while attending schools or places of employment indicated on this form

Can you perform the functions of this job with or without reasonable accommodations
Yes No
If No, please explain
Have you ever been convicted of a felony Yes No
If yes, please explain (Note - A conviction alone will not automatically bar you from employment)
Military Service Yes No
Brach of service and rank
Dates of Service
Special Training

Education

Name and Location	Course of Study	Scholastic Average	Dates of Attendance	Graduated
Name and Location	Course of Study	Scholastic Average	Dates of Attendance	Yes/No	Mo/Year	Degree
High School				Yes No		N/A
College				Yes No
Vocational				Yes No
Other				Yes No

Skills

List Computer Software & platforms in which you are proficient
Cash Register
10-Key
Other Skills

Employment (List present or most recent employer first)

Name of Company
Address
Supervisor
Salary
Phone
Job Title
Date Started
Date Left
Job Description
Reason for Leaving

Name of Company
Address
Supervisor
Salary
Phone
Job Title
Date Started
Date Left
Job Description
Reason for Leaving

Name of Company
Address
Supervisor
Salary
Phone
Job Title
Date Started
Date Left
Job Description
Reason for Leaving

Name of Company
Address
Supervisor
Salary
Phone
Job Title
Date Started
Date Left
Job Description
Reason for Leaving

AUTHORIZATION FOR BACKGROUND CHECK

Indicate those you do not wish contacted
I authorize PrePlayed® to verify employment, except as noted below, as well as conduct criminal and vehicular record check.

References

1) Name
Occupation
Address
Phone
2) Name
Occupation
Address
Phone
3) Name
Occupation
Address
Phone

Please use the space provided below to summarize any additional information necessary to fully describe your qualifications.

* * * PLEASE READ * * *
All information written on this application is complete and accurate to the best of my knowledge. I understand that any misrepresentation of facts in this application disqualifies me from further consideration - or if employed - is grounds for dismissal. I understand that any employment offer is contingent upon satisfactory references and I authorize PRE PLAYED® to investigate past employment and education history, as well as references given on application.

I understand that if employed such employment may be terminated for just cause, or no cause, by PRE PLAYED® or myself at any time. I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by the company. I understand that no company representative, other than its Owner, and then only when in writing and signed by the Owner, has any authority to enter into any agreement for employment for any specific period of time, or to make any agreement contrary to the foregoing.

I fully understand and agree to all statements above.