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About You
Name Present Address City Present Telephone No. Permanent Address City Permanent Telephone No. Name of Employer Position Applying For City, State q Part Time q Full Time q Temporary Dates of Employment Job Title Reason for Leaving May we contact the employer? q Yes q No Name Relationship Name of Employer City, State Dates of Employment
You are not obligated to disclose any sealed or expunged record of conviction. A conviction record will not necessarily bar you from employment and will be considered as it relates to the job in question. California applicants only: You are not obligated to disclose marijuana related convictions described in California Labor Code Section 432.8 that are more than two years old. For applicants in Hawaii, Massachusetts and Philadelphia only - Please do not answer this question or disclose any criminal history at this time.

Employment History

Level of Education
Level of Education School Name/ address Degree Obtained
Follett Corporation and its divisions provide equal employment opportunity employment to all qualified employees and applicants for employment regardless of race, color, creed, religion, sex, disability, national origin, ancestry, citizenship status, veteran status, and/or any other classification prohibited by applicable law. Submission of the information below is strictly voluntary and refusal to provide it will not subject you to any adverse treatment. The information will be kept confidential and may only be used in accordance with the provisions of applicable laws, executive orders and regulations, including those that require the information to be summarized and reported to the federal government for civil rights enforcement. GENDER q Male q Female ETHNICITY q Hispanic q Non-Hispanic/Latino RACE q White Not Hispanic or Latino q Black or African American q Native Hawaiian or Other Pacific Islander Salary History

Name of Present Employer City, State State ZIP Dates of Employment Job Title Reason for Leaving State ZIP May we contact your present employer? q Yes

Supervisor Telephone No.

High School

Salary History

College
q No

Supervisor Telephone No.

Business, Career or Technical School

Have you ever applied/worked for Follett Corporation or any subsidiary on a permanent or temporary basis? q Yes q No Date (if yes) Are you legally eligible for employment in the United States? q Yes q No Do you have any relatives working for Follett or any of its divisions? q Yes q No Will you now or in the future require sponsorship for employment visa status? q Yes q No Have you ever been convicted of a felony*? q Yes q No Explain (if yes)

Professional References

q Asian q American Indian or Alaskan Native q Two or More Races This information will not be included with the employment application and will be detached before the applicant is being considered for an interview/employment.

Supervisor Telephone No.

Daytime Telephone No.

Name Salary History Relationship Daytime Telephone No.

Job Title Reason for Leaving May we contact the employer?

q Yes

q No

Monday Tuesday Wednesday Thursday Friday Saturday

employment application

Sunday

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Computer Skills Special Skills Referred by Follett Employee? q Yes q No Follett Employee:

1-888-FOLLETT www.fheg.follett.com
An Equal Opportunity Employer

I certify that the answers given in this application are true and complete to the best of my knowledge. Any misstatement of facts will be sufficient reason for immediate rejection of this application and/or, in the event of employment, be deemed cause for dismissal. I understand that if I accept an offer of employment I agree to comply with all company policies and procedures. These policies are subject to change at the companys discretion and I am subject to policy changes as they are made. I also understand that if I accept an offer of employment, I will be an employee at will and that my employment and compensation may be terminated without cause, and with or without notice, at any time, at the option of the Company or myself. I have read and understand the above statement. Follett conducts thorough background checks as a condition of employment. I authorize Follett to conduct an investigation of all information contained in this application for employment, and I release from liability all companies, corporations or personal references named or to whom Follett may refer in supplying such information.

Signature

Date