BCBGMAXAZRIAGROUP does not discriminate in employment opportunities or practices on the basis of race,

ethnicity, skin color, religious beliefs/affiliations, gender (including pregnancy, gender identity and gender expression),
national origin, citizenship, age, sexual orientation, marital status, legally protected disability or health/medical
condition (including pregnancy, childbirth or related condition), family medical history, genetic information, political
affiliation/association, military/veteran status or any other basis prohibited by law.

PERSONAL INFORMATION
First NameLast Name
CityStateZip
Choose a State

EmailPhone Number

DESIRED EMPLOYMENT
Interested In:Position:
Choose one

--Please Choose Interested In--

Start Date:Shift: (check all that apply)

Days

Evenings

Are you open to relocation?

Weekends
No

Full Time

Flexible

Yes

Are you willing to work overtime if hourly?

Are you available to travel for work?

Part Time

No
No

Yes
Yes
Less than 25%

Are you willing to work on weekends?

No

Yes

Have you ever interned, been employed by or applied for a position with BCBGMAXAZRIAGROUP or affiliates?
No
Yes

If yes, specify position, work location and time period:

EXPERIENCE - List two employment experiences starting with the most recent position below.
Please check if you have no prior work experience.
Job Title:Employer:Current Salary:
Dates:

to

Present

Job Title:Employer:
Dates:

to

PROFESSIONAL REFERENCES - Provide two professional references and their contact information.

Reference Name:Reference Contact Number:

Reference Name:Reference Contact Number:

CANDIDATE SOURCE
Employee Referral

BCBG Recruiter

Internet Job Board

BCBG Website

School Referred

Other

VOLUNTARY IDENTIFICATION QUESTIONS - Completing the following will not affect your
employment.
Decline to self-identify
Gender:

Male

Female

American Indian/Alaskan Native

Asian

Black/African American

Hispanic/Latino

Native Hawaiian/Other Pacific Islander

Two or More Races

White

Other

UPLOAD RESUME
Resume:
SUBMIT

BCBGMAXAZRIAHerve LegerBCBGeneration