Conn's Employment Inquiry...
Take a moment to fill out.
Please submit this Employment Inquiry as a starting point to express your interest in becoming a Conn's employee. Should follow up be made to your inquiry, you will be asked to complete an Employment Application. Conn's is an equal opportunity employer and does not discriminate against qualified applicants on the basis of race, color, creed, religion, ancestry, age, sex, marital status, national origin, disability or handicap, or veteran status.

  
Information about yourself

Position of Interest:
 
 

First Name
Middle Name
Last Name

Current Address
Apt#: 
E-Mail Address

City: 
State: 
Zip Code: 

Home Telephone: 
Cell Phone: 
Employment Experience
Start with your present or most recent job. Include any job-related military service assignments and volunteer activities. You may exclude organizations that indicate race, color, religion, gender, national origin, disabilities or other protected status.
Employer:  Dates Employed:
From: 
To:      		Work Performed:
Address/City/State: 
Telephone Number(s):  Hourly Rate/Salary:
Start: 
Final: 
Job Title: 
Reason for Leaving: 

Employer:  Dates Employed:
From: 
To:      		Work Performed:
Address/City/State: 
Telephone Number(s):  Hourly Rate/Salary:
Start: 
Final: 
Job Title: 
Reason for Leaving: 

Employer:  Dates Employed:
From: 
To:      		Work Performed:
Address/City/State: 
Telephone Number(s):  Hourly Rate/Salary:
Start: 
Final: 
Job Title: 
Reason for Leaving: 

Employability
Have you ever been previously employed with Conn's?
If Yes, give dates:
From: To:
Have you ever been terminated or fired from a job?
Have you ever been asked to resign your employment?
Are you legally eligible for employment in the United States? (For purposes of compliance with The Immigration Reform and Control Act. Proof of citizenship or immigration status will be required on the date of employment.)
Criminal History
Have you ever been convicted of any crime?
(Exclude convictions that have been sealed, expunged or legally eradicated.)
If yes, briefly describe the nature of the crime(s), the date and place of conviction and the legal disposition of the case:
Will you submit to a pre-employment drug screen and background check?
Education
Select highest grade completed if you did not complete high school:  If you did not complete high school,
do you have a high school equivalency diploma? 

High School
City, State
Course of Study
Diploma/Degrees

Undergraduate College
City, State
Course of Study
Diploma/Degrees

Graduate/Professional
City, State
Course of Study
Diploma/Degrees

Other (Specify)
City, State
Course of Study
Diploma/Degrees
Applicant's Statement
I certify that answers given herein are true and complete to the best of my knowledge.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in termination of employment.

I authorize Conn's to investigate my past employment, medical history, educational background, credit history, involvement in prior litigations, criminal history, and driving records. I hereby release from liability and hold harmless Conn's, any of its subsidiaries and any contributing firm, individual, organization or governmental agency or records depository and all of their officers, employees, and agents.

I specifically authorize the release of all available personal information, data and records from the following sources: former employers, individuals, United States district courts; city, county, and state district courts, state attorney general's office, department of public safety (state police), educational institutions, federal bureaus and credit reporting agencies.

I understand that the above sources will be utilized to determine my employability and I have carefully read and agree to all of the foregoing. I certify that all of the information provided by me on my employment inquiry is true and complete.

I agree to be bound by Conn's Alternative Dispute Resolution Plan in resolving any disputes regarding my status as an applicant or as an employee, if hired.

I understand that I will be required to complete a full employment application if I am invited to continue in the employment process and participate in a face-to-face interview.

I agree that by submitting this inquiry electronically, I indicate my agreement with the above terms and conditions.
Check to indicate that you agree to the conditions and wish to continue: