Basic Info - Rogan Employment

First Name

MiddleInitial

Last Name

Address

City

State

Zip

Phone

Desired Store Location:

CHECK ALL THAT APPLY

You would work at another Rogan's Shoes store near your desired store.

You 16 or older. (You must be at least 16)

You are legally eligible to be employed in the US.

You have worked at Rogan's Shoes before.

If YES, when?

What Date Are You Able to Begin Work?

Hourly Wage Desired

Times That You Are Able to Work?

ROGAN'S SHOES MAKES A REASONABLE EFFORT TO ACCOMMODATE THE RELIGIOUS BELIEFS OR PRACTICES OF ITS EMPLOYEES.

	School Name	Location
High School:


Technical, Trade, or Vocational School:
College:

Basic Information