Dear Hearts Employment Application. Please complete all questions. Upon submitting application it will be emailed to the manager who will call you for an interview. If you have questions, you may send email to The stores open between April 1 and April 15.

Today's Date:

Your Full Name, First, Middle, Last:

Date of Birth:

Home Street Address:

Address (cont.):



Zip Code:

Cell Phone:

Home Phone:

Email Address:

Emergency Contact Person Name and Number:

School or College:

Do you have your own transportation? yes or no:

If no, How will you get to work? :

Current Grade Level in School or college:

List any previous work experience here:

Position Applying for, ie: counter help, manager:

Which Dear Hearts Location are you applying for:

Date Available to Start:

Days and Hours you ARE Available to work:

Days and Hours NOT Available to work:

Special Skills, Hobbies, Interests, Computers:

List 3 Names and Phone Numbers for References::

If you were referred by someone, let us know who: