American Eagle Job Application Form

Please complete all requested information. (Please print legibly in ink.)

Location/Store #___________________________________________________ Today's Date__________________________________________

Name (Last First Middle) Telephone - Home Telephone - Work

Street Address Date you can start work

City Province Postal Code Full Time Part Time Temporary

Days Evenings Weekends All

Please indicate the hours you are available to work during both day and evening

Willing and able to relocate? Yes No shifts for each day: (i.e. 5 p.m.-10 p.m.)

If yes, identify geographical area:

Have you ever worked for American Eagle Outfitters, Thrifty's, Shift Sun Mon Tues Wed Thurs Fri Sat

Bluenotes or NLS before? Yes No From

If yes, state where, when, final position, and reason for leaving: To

Have you ever applied to American Eagle Outfitters, Thrifty's, Note: Should your availability change, it is your responsibility to notify your manager.

Bluenotes or NLS before? Yes No (Any changes to availability are subject to manager approval based on business need.)

If yes, where and when?

Do you have a spouse, child, or parent currently employed by American Eagle Outfitters, Thrifty's/Bluenotes, and/or NLS? Yes No

If yes, identify by name(s) relationship, position and location where employed:

Is any additional information relative to change of name, use of an assumed name or nickname necessary to enable a check on your employment history?

GENERAL INFORMATION

American Eagle Outfitters Canada Corporation is an equal opportunity employer. All applicants and employees are considered for employment, advancement, and compensation based upon their skills

and performance without regard to race, sex, national origin, citizenship status, age, ancestry, handicap, disability, marital status, or any other ground under Human Rights legislation.

AMERICAN EAGLE

Position Desired

OUTFITTERS

Yes No If yes, please explain:

List all current and former employers, beginning with present or most current employer first. Include any periods of unemployment, self employment, etc.

Information provided is subject to verification. Please explain any gaps in employment in the general comment space provided on the back of this application.

Company Name Starting Position Starting Salary

Street City Province Postal Code Last Position Final Salary

Phone Supervisor's Name Title Duties:

Reason for leaving: Dates of employment

May be contacted now? Yes No Start: (Month/Year) End: (Month/Year)

Company Name Starting Position Starting Salary

Street City Province Postal Code Last Position Final Salary

Phone Supervisor's Name Title Duties:

Reason for leaving: Dates of employment

May be contacted now? Yes No Start: (Month/Year) End: (Month/Year)

Company Name Starting Position Starting Salary

Street City Province Postal Code Last Position Final Salary