Employment Application

Thank you for taking the time to apply at NIAS. Please take a moment to complete the application
below and we will contact you after we have reviewed your qualifications.
Please check the division you would like to apply for:
Inventory
Demos
Merchandising/Sales
Product Merchandising
Date
Last Name
First Name
Middle Initial
Zip Code
Street Address
City
State
Telephne Number
Cell Number
Are you a citizen of the United States?
Social Security Number
Have you ever worked for this company?
If yes, when?
Education
Did you graduate?
High School
Did you graduate?
College
References
Please list two professional references
Full Name
Relationship
Company
Telephone
Full Name
Relationship
Company
Telephone
Previous Employment
Company
Telephone
Job Title/Responsibilities
Supervisor
From/To
Reason for leaving
Can we contact your previous supervisor for a reference?
If no, explain
Company
Telephone
Job Title/Responsibilities
Supervisor
From/To
Reason for leaving
Can we contact your previous supervisor for a reference?
If no, explain
Emergency Contact Information
Name and Address
Telephone
I certify that my answers are true and complete to the bes of my knowledge.  If this application
leads to employment, I understand that false or misleading information in my application or
interview may result in my release.