Sephora Job Application Form

Applying for a job vacancy at a Sephora store located in the US involves the completion and submission of this form.Download

Extracted Text for Proper Search

APPLICATION FOR EMPLOYMENT 
TO APPLICANT:  We appreciate your interest in our orga nization and we are interested in your qualifications.  A clear understanding of your  
job related skills and experience would aid us  in determining whether your qualifications meet our employment needs.  We are an  Equal 
Employment Opportunity Employer.  Consider ation for employment is based solely on individual qualifications, without regard to  race, marital 
status, religious creed, color, national or igin, ancestry, physical handicap, medical  condition, sex, sexual orientation, age, or any other protected 
category recognized by applicable federal,  state and local law.  This employment application is valid for a three-month period after submission 
to the company and only for the desired position(s).   	
Name 	 	E-Mail Address 	 	 	Last 	First 	M. Initial 	 	 	
Present Address 	 	 	Phone Number 	(          ) 	 	Street 	City 	Zip 	 	 	
Can you, after employment, submit verification of your  legal right to work in the United States?     	   Yes     	   No 	Are you at least 18 years of age?    Yes     	   No      	
Were you previously employed by Sephora or an LVMH Company?     	   Yes     	   No     If yes, when? 	
Are you able to perform the essential functions of the job for which you are applying,  either with / without reasonable accommodation? 	  Yes     	  No  	 Have you ever been convicted of a criminal o ffense (felony or serious misdemeanor)?     	   Yes     	   No     If yes, state the nature of the crime(s), when and 	where convicted, and disposition of the case.  (Note:  Convictions  for marijuana-related offenses that are more than 2 years old need not be listed.)  
(Note:  No applicant will be denied employment solely on the gr ounds of conviction of a criminal offense.  The nature of the offense, the date of the offense, the surrounding circumstances and the relevance of the offense to the position(s) app lied for may, however, be considered.) 
List any relatives working for Sephora: 	 	
 	Position(s) Applied For 	 	
 	Expected Rate of Pay $ 	 	 per 	 	 Would you work 	   Full-time (32-40 hours) 	
       Part-time (under 32 hours) 	 	Specify days and hours if part-time 	 	 Days available for work? 	 	
 	What source referred you to Sephora? 	 	 	LIST BELOW ALL PRESENT AND PAST EMPLOYMENT, BEGINNING  WITH YOUR MOST RECENT. 	
 	I 	Name of Company 	       From Month     Year 	           To Month     Year  	
 	 	Address 	
 Summarize the Work You Did:  
Position:  ______________________ 	
 Reason for Leaving: 	
 	 	Phone Number 	Starting Salary 	Last Salary 	Duties: 	 	
 	 	Name of Supervisor 	 	 	
 	II 	Name of Company 	       From Month     Year 	           To Month     Year  	
 	 	Address 	
 Summarize the Work You Did:  
Position:  ______________________ 	
 Reason for Leaving: 	
 	 	Phone Number 	Starting Salary 	Last Salary 	Duties: 	 	
 	 	Name of Supervisor 	 	 	
 	III 	Name of Company 	       From Month     Year 	           To Month     Year  	
 	 	Address 	
 Summarize the Work You Did:  
Position:  ______________________ 	
 Reason for Leaving: 	
 	 	Phone Number 	Starting Salary 	Last Salary 	Duties: 	 	
 	 	Name of Supervisor 	 	 	
 	IV 	Name of Company 	       From Month     Year 	           To Month     Year  	
 	 	Address 	
 Summarize the Work You Did:  
Position:  ______________________ 	
 Reason for Leaving: 	
 	 	Phone Number 	Starting Salary 	Last Salary 	Duties: 	 	
 	 	Name of Supervisor 	 	 	
EMPLOYEE 
POSITION 
WORK EXPERIENCE 	
                    May we contact the employers listed above?     	  Yes     	  No     If no, indicate by # which one(s) you do not wish us to contact ________________

Applicant _________________________________________________                  	SEPHORA – APPLICATION FOR EMPLOYMENT 	
 	OFFICE/CLERICAL 	Yes 	No 	 	
 	Typing 	 	 	WPM 	 	
 	Computer Hardware 	 	 	Platforms include:  	 	
 	Computer Software 	 	 	Programs include: 	 	
 	Other skills: 	 	 	 	 	
 	Many of our customers speak languages other than English.  Please list any foreign languages that you understand and designate y our ability, for each, to Speak, Read and Write as “Poor,” “Fair,” or “Fluent.” 	
Speak 	Read 	Write 	
 	 	 	 	 	
 	 	 	 	 	
 	 	 	 	 	
 	Are there any other experiences, skills or qualifications which you feel would contribute to the position for which you are applying?  	
 	 	
 	 	 	 	 	
 	School 	Name & Address 	    Course of Study 	Last Year Completed (please circle) 	Did you Graduate 	Diploma or Degree 	
 	HIGH 
 	
  
_____________________________________________ 	
 1       2       3       4 	   Yes  	  No 	 	
 	COLLEGE 	  
_____________________________________________ 
Presently Enrolled?     	  Yes     	  No 	
 1       2       3       4 	   Yes  	  No 	 	
 	OTHER 	  
_____________________________________________ 
Presently Enrolled?     	  Yes     	  No 	
 1       2       3       4 	   Yes  	  No 	 	
SKILLS 
EDUCATION 
 ACTIVITIES 	
List job-related honors and activities (incl uding offices held).  You may omit those activities or honors which indicate race,  religion, creed, color, national 
origin, ancestry, sex, age, marital status, disability a nd any other characteristic protected by applicable law.      
              	 
 	
Name and Occupation  Relationship  Address  Phone Number 
     
     
     
     	
 	REFERENCES 
Is any additional information relative to change of name, use of an assumed nickname, or nickname necessary to double check on  your work record? 
  Yes     	  No     If yes, please explain.   ________________________________________________________________________________________________	 
If I am employed, I agree to ab ide by Sephora’s rules, regulations, and policies  and I agree to receive any pay earned via either Direct Deposit or Pay Card.  I also agree 
to receive my paystub electronically, as  permitted by applicable law.  I understand th at my employment with Sephora will be at will, which means that either I or 
Sephora may terminate the employment relationship at any time with or without cause and with or without notice.  I understand t hat while Sephora retains the right, in 
its sole discretion, to modify the term s and conditions of my employment, includi ng my compensation, benefits, title, job dutie s, work schedule, and reporting 
relationships, the at-will nature of my employment with Sephora  can be changed only if I enter into a written agreement with Se phora signed by me and Sephora’s 
Senior Vice President of Human Resources.  This provision cons titutes the entire agreement between me and Sephora regarding the  duration of my employment, and it 
supersedes any prior representations, promises, or agreements on the subject. 
I certify that the facts set forth in this application for empl oyment are true and complete.  I understand that false statement s or omissions on this application will result in 
a refusal to hire or, if discovered after  I am hired, in disciplinary action up to a nd including the termination of my employme nt.   
I hereby grant permission to any person, firm or corporation to  release to Sephora or its representatives any and all information regarding my past work or employment 
and my background.  I waive any and all claims I might have  with respect to the providing of such information.   
I HAVE READ THE ABOVE PRIOR TO SIGNING THIS APPLICATION. 
         
Date of Application   Signature of Applicant 	
Application_Stores (revised 06/09)

Background Rele ase Form Disclosure & Consent     	
 	
 
In connection with my application for employment (including co ntract for service) with Sephora USA, Inc. (“the Company”), 
I understand that investigative inquiries may be obtained on me  by a consumer reporting agency, and that any such report will 
be used solely for employment-related purposes.  I understand that  the nature and scope of this investigation will include a 
number of sources including, but not limited to, consumer cred it, criminal convictions, sex offender registries and public 
databases, motor vehicle, and other reports.  These reports w ill include information as to my character, general reputation, 
personal characteristics, mode of living,  and work habits.  Information relating to  my performance and experience, along with 
reasons for termination of past employment  from previous employers, may also be obtained.  Further, I understand that the 
Company will be requesting information from various Federal,  State, County and other agencies that maintain records 
concerning my past activities relating to my driving, credit, criminal, civil, education, and other experiences. 
 
I understand that if the Company hires me, it may request a consum er report or an investigative consumer report about me for 
employment-related purposes during the course of my employment.  I understand that the scope of this investigation will be 
the same as the scope of a pre-employment investigation, and that  the nature of such an investigation will be my continuing 
suitability for employment, or whether I possess the minimum qualif ications necessary for promotion or transfer to another 
position.  I understand that my consent will apply throughout my employment, unless I revoke or cancel my consent by 
sending a signed letter or statement to the Company at any time,  stating that I revoke my consent and no longer allow the 
Company to obtain consumer or inves tigative consumer reports about me. 
 
I understand that I am being given a copy of the “Summary of  Your Rights Under the Fair Credit Reporting Act” prepared 
pursuant to 15 U.S.C. Section 1681-1681u.  If I am applying for employment in the State of California or if I am a resident of 
California at the time of applying for employment, a summary  of the provisions of California Civil Code section 1786.22 is 
also being provided to me with this form.  This signed Disclosure and Consent form, whether in original, faxed, photocopied 
or electronic form, will be valid for any repor ts that may be requested by the Company. 
 
I authorize without reservation any party or agency contacted by  the Company to furnish the above-mentioned information.  I 
hereby consent to the Company obtaining the above information  from Accurate Background, Inc. (and/or any of their licensed 
agents) located at 6 Orchard, Suite 200, Lake Forest, CA 92630, (800) 784-3911. I understand that to aid in the proper 
identification of my file or records, the following pers onal identifiers, as well as other information, are necessary. 
 
Print Name   ________________________________________________________ 
 
Other Names Known By _______________________________________________ 
 
Social Security Number _______-_____-________    Month/Day of Birth ___/____ 
 
Driver License Number ______________________    State  ___________________ 
 
Current Address  ___________________________________________________ 
 
City  _____________________________________ State ______ ZIP _________ 
 
Applicant Signature _______________________________ Date_______________ 
 
Prospective Employer Sephora USA, Inc. 
 
Oklahoma or Minnesota Applicants: 
I would like to receive a copy of any report ob tained on me by Sephora USA, Inc.    □ Yes    □ No 	
 
California Applicants: 	
Accurate Background, Inc. must  supply files and information according to applicab le law.  You may inspect your files or records in person 
with proper identification, or by making a written request by certified mail or by telephone with proper identification.  You m ay request to 
receive a copy of any report received by Sephora USA, Inc., except  for reports sought due to suspicion of wrongdoing or miscond uct by 
you, by checking the “yes” box.       □ Yes    □ No

Para informacion en espanol, visite www.ftc.gov/credit	 o escribe a la FTC Consumer Response Center, 	
Room 130-A 600 Pennsylvania Ave., N.W , Washington, D.C. 20580. 
 	
A Summary of Your Rights Under the Fair Credit Reporting Act 	
 
 	The federal Fair Credit Reporting Act (FCRA ) promotes the accuracy, fairness, and 
privacy of information in the files of consum er reporting agencies.  There are many types of 
consumer reporting agencies, including credit bureaus and specialty agencies (such as agencies 
that sell information about check writing histories,  medical records, and rental history records).  
Here is a summary of your  major rights under the FCRA.   For more information, including 
information about additional rights, go to  www.ftc.gov/credit	
  or write to: Consumer 
Response Center, Room 130-A, Federal Trad e Commission, 600 Pennsylvania Ave. N.W., 
Washington, D.C. 20580. 
 
ƒ   You must be told if information in your file has been used against you. \
  Anyone who 
uses a credit report or anothe r type of consumer report to deny your application for credit, 
insurance, or employment – or to take anothe r adverse action against you – must tell you, and 
must give you the name, address, and phone  number of the agency that provided the 
information. 
ƒ   You have the right to know what is in your file.   You may request and obtain all the 
information about you in the files of a consumer  reporting agency (your “file disclosure”).  
You will be required to provide proper iden tification, which may include your Social 
Security number. In many cases, the disclosure will be free.  You are entitled to a free file 
disclosure if: 
ƒ  a person has taken adverse action agains t you because of information in your 
credit report; 
ƒ   you are the victim of iden tity theft and place a fraud alert in your file; 
ƒ   your file contains inaccurate information as a result of fraud;  
ƒ   you are on public assistance;  
ƒ   you are unemployed but expect to appl y for employment within 60 days. 
In addition, by September 2005 all consumers will be  entitled to one free disclosure every 12 
months upon request from each nationwide cred it bureau and from nationwide specialty 
consumer reporting agencies.  See  www.ftc.gov/credit	
 for additional information.  
ƒ   You have the right to ask for a credit score.   Credit scores are numerical summaries of 
your credit-worthiness based on information from  credit bureaus.  You may request a credit 
score from consumer reporting agencies that cr eate scores or distribute scores used in 
residential real property loans, but you will  have to pay for it.  In some mortgage 
transactions, you will receive credit score information for free from the mortgage lender. 
ƒ   You have the right to dispute incomplete or inaccurate information.   If you identify 
information in your file that is incomplete or inaccurate, and report it to the consumer 
reporting agency, the agency must investig ate unless your dispute is frivolous.  See 
www.ftc.gov/credit	
 for an explanation of dispute procedures.

ƒ  Consumer reporting agencies must correct or delete inaccurate, incomplete, or 
unverifiable information .  Inaccurate, incomplete or unverifiable information must be 
removed or corrected, usually within 30 days.   However, a consumer reporting agency may 
continue to report information it has verified as accurate. 
ƒ   Consumer reporting agencies may not report outdated negative information.   In most 
cases, a consumer reporting agen cy may not report negative information that is more than 
seven years old, or bankruptcies  that are more than 10 years old. 
ƒ   Access to your file is limited.   A consumer reporting agency may provide information about 
you only to people with a valid need – usually to  consider an application with a creditor, 
insurer, employer, landlord, or  other business.  The FCRA specifies those with a valid need 
for access.  
ƒ   You must give your consent for reports to be provided to employers.   A consumer 
reporting agency may not give out information  about you to your employer, or a potential 
employer, without your written consent given to  the employer.  Written consent generally is 
not required in the trucking indus try.  For more information, go to www.ftc.gov/credit	
. 
ƒ   You may limit “prescreened” offers of cr edit and insurance you get based on 
information in your credit report.   Unsolicited “prescreened” offers for credit and 
insurance must include a toll-free phone num ber you can call if you choose to remove your 
name and address from the lists these offers  are based on.  You may opt-out with the 
nationwide credit bureaus at 1-888-567-8688.  
ƒ   You may seek damages from violators.   If a consumer reporting agency, or, in some cases, 
a user of consumer reports or  a furnisher of information to a consumer reporting agency 
violates the FCRA, you may be able  to sue in state or federal court. 
ƒ   Identity theft victims and active duty mili tary personnel have additional rights.  For 
more information, visit  www.ftc.gov/credit	
. 
States may enforce the FCRA, and many states  have their own consumer reporting laws.  
In some cases, you may have more rights und er state law.  For more information, contact 
your state or local consumer protection agency  or your state Attorney General.  Federal 
enforcers are: 	
TYPE OF BUSINESS: 
  CONTACT: 
Consumer  reporting agencies, creditors and others not listed be
low Federal Trade Commission: Consumer Response Center – FCRA 
Washington, DC 20580    1-877-382-4357 
National banks, federal branches/a gencies of foreign banks (word 
“National” or  initials “N.A.” appear in or after bank’s name)  Office of the Comptroller of the Currency 
Compliance Management, Mail Stop 6-6 
Washington, DC  20219     1-800-613-6743 
Federal Reserve System member banks (except national banks, and 
federal branches/agencies of foreign banks) 
Federal Reserve Board 
Division of Consumer & Community Affairs 
Washington, DC  20551     1-202-452-3693 
Savings associations and federally
 chartered savings banks (word 
“Federal” or initials “F.S.B.” app ear in federal institution’s name)  Office of Thrift Supervision 
Consumer Complaints 
Washington, DC  20552    1-800-842-6929 
Federal credit unions (words “Federal Credit Union” appear in 
institution’s name)  National Credit Union Administration 
1775 Duke Street 
Alexandria, VA  22314     1-703-519-4600 
State-chartered banks that are not members of the Federal Reserve 
System 
Federal Deposit Insurance Corporation 
Consumer Response Center, 2345 Grand Avenue, Suite 100 
Kansas City, Missouri 64108-2638      1-877-275-3342 
Air, surface, or rail common carriers regulated by former Civil 
Aeronautics Board or Inters
tate Commerce Commission  Department of Transportation, O
ffice of Financial Management 
Washington, DC  20590    1-202-366-1306 
Activities subject to the Packers and Stocky ards Act, 1921 Department of Agriculture 
Office of Deputy Administrator – GIPSA 
Washington, DC  20250    1-202-720-7051

For more information on E-Verify,  
please contact DHS at: 
1-888-464-4218

We Participate in E-Verify
This SWA will provide the Social Security Admin-
istration (SSA) and, if necessary, the Department 
of  Homeland  Security  (DHS), 
with  information  from  each  
applicant’s  Form  I-9  to  confirm 
work authorization.
IMPORTANT:  If  the  Govern-  
ment  cannot  confirm  that 
you  are  authorized  to 
work,  this  SWA  is  required 
to  provide  you  written  instructions  and  an  
opportunity  to  contact  SSA  and/or  DHS  before  
taking  adverse  action  against  you,  including  
terminating your employment. 	
SWA  and  employers  may  not  use  E-Verify  to  
re-verify  current  employees  and  may  not  limit   or  influence  the  choice  of  
documents  presented  for  use 
on the Form I-9. 	
If  you  believe  that  your  SWA 
has  violated  its  responsibilities   
under  this  program  or  has  
discriminated  against  you  
during  the  verification  process 
based  upon  your  national  origin  or  citizenship   
status,  please  call  the  Office  of  Special   
Counsel  for  Immigration  Related  Unfair  
Employment  Practices  at  1-800-255-7688  
(TDD: 1-800-237-2515).
	
NOTICE :
	
Federal law requires  
all employers  
to verify the identity and  employment eligibility  
of all persons hired to work   in the United States.

IF YOU HAVE THE RIGHT TO WORK,
 
Don’t let anyone take it away.
 	
If you have a legal right to 
work in the United States, 
there are laws to protect 
you against discrimination 
in the workplace.