1004 - Lessons Associate

Dec 3, 2021

Personal Information

Please complete all requested page(s) and click the arrow below to continue.
 
** = Conditionally Required Field

Personal Information

Legal First Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Matthew

Legal Last Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Keene
Legal Middle Name . Scott
.....................................................
Email Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . rolphul@gmail.com
Street Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
248 evergreenane
Enter Physical Address (no PO Box)
Apartment, Unit, Suite # .
.....................................................
City . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Middleburg
Country . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . United States
State/Province** . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Florida
Zip/Postal Code . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32068
Primary Phone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(904) 236-1285
format nnn-nnn-nnnn
Secondary Phone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
format nnn-nnn-nnnn
Are you at least 18 years of age? Yes

General Information

If hired, can you provide proof of your legal right to work in the US for Guitar
Center in the position sought? Yes

Will you, now or in the future, require sponsorship for employment-based visa
status? No
 

Date available to start work . 12/04/2021

.....................................................
Hours of Availability .
..................................................... Days, Evenings, Weekends
(check all that apply)
Desired Salary or Hourly Rate . $12/h
.....................................................

Have you ever been employed by Guitar Center? No

If yes, please provide location and previous employee number.**
From Date** . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If specific date is not known, please enter first of the month.
To Date** . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Do you have relatives employed by Guitar Center? No
If yes, give their names** .
.....................................................

Would you like to be contacted about other career opportunities within the
Yes
enterprise?

Are you able to perform the requirements of this position, with or without
Yes
reasonable accommodation?
eSignature

I certify that the answers provided in this Application are true and complete. By submitting this application I hereby authorize the release of any employment data relevant to employment with
the company and its affiliates for the purpose of employment investigation. I authorize a thorough investigation of my current and past employment, activities and background and agree to
cooperate in such investigation and release from liability or responsibility all persons and entities requesting or supplying such information. The investigation may also include a determination
of any criminal record. I release from all liability and responsibility all persons and entities requesting or supplying information about my employment or educational background and
experience listed on this Application, including my present employer.
 
I agree to submit to any lawful criminal background checks or testing that may be required as a condition of employment or continued employment, as allowed by state law, and I understand
that refusal to promptly submit and cooperate with such testing proper to or during the course of my employment will result in disqualification from consideration for employment, or, if hired,
termination. I agree to execute all necessary consent forms.

I understand that if employed, any misrepresentation or omission in an interview or on this Application, a resume or any other company record that I submit to the company will result in
dismissal, regardless of date of discovery.

Neither this Application nor any statements made to me during the hiring process or thereafter shall be considered a contract of employment of any kind. Where a contract is intended, I
understand that it will be separately entered into and signed by an authorized executive of the company. Absent such contract, I understand that if hired, my employment will be terminable-at-
will, without cause or notice, that I am not being employed for any specified or definite period of time, and that this Application is not intended to be a contract, offer, statement or confirmation
or for continued employment. I understand that any employee handbook does not represent an employment contract if I am hired, and that the company may alter, modify, amend, or terminate
any of its policies and benefits, both as to active and retired employees.

Maryland Applicants:

UNDER MARYLAND LAW, AN EMPLOYER MAY NOT REQUIRE OR DEMAND, AS A CONDITION OF EMPLOYMENT, PROSPECTIVE EMPLOYMENT OR CONTINUED EMPLOYMENT, THAT AN INDIVIDUAL SUBMIT TO
OR TAKE A LIE DETECTOR OR SIMILAR TEST. AN EMPLOYER WHO VIOLATES THIS LAW IS GUILTY OF A MISDEMEANOR AND SUBJECT TO A FINE NOT EXCEEDING $100.

I hereby acknowledge receipt of the Maryland notice regarding prohibition of lie detectors or similar tests.

ELECTRONIC SIGNATURE: Please type your name as it is listed in the document above:

E-Signature

 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Matthew Keene
Accepted