Vans is an equal opportunity employer and will make selection decisions without regard to race, color, sex, religion, national origin, age, disability or veteran status. For government record keeping purposes, you may choose to identify your race, ethnicity, and/or gender. If you would like to provide this voluntary information, it may be sent in writing to the Vans Corporate Office, Attention Affirmative Action Coordinator, 6550 Katella Avenue, Cypress, CA 90630 or If you would like to complete the voluntary Applicant Identification Record, please call 714-889-6100 extension 0 to request a form. An Equal Opportunity Employer.
 RETAIL EMPLOYMENT PROFILE UNITED STATES 
COUNTRY OF APPLICANT: UNITED STATES
 *FIRST NAME :
 *LAST NAME :
*EMAIL:
*EMAIL (CONFIRM):
*ADDRESS1:
ADDRESS2:
*CITY: *STATE:
*ZIP:
*PHONE (HOME): PHONE (CELL):
POSITION INFORMATION
*LOCATION DESIRED:
 *POSITION DESIRED:
  * You must select at least one Location/Position option. To select multiple options: hold control key on your keyboard (ctrl) and mouse click the desired options.
SCHEDULE
  PLEASE CHECK ALL OF THE APPLICABLE
 
FULL TIME PART TIME SEASONAL
  PLEASE CHECK ALL OF THE APPLICABLE
 
WEEKDAY EVENINGS WEEKENDS
SCHEDULE DETAIL
PLEASE INDICATE THE DAYS AND HOURS YOU ARE AVAILABLE TO WORK
  MON. TUES. WEDS. THURS. FRI. SAT. SUN.
 START TIME: 
 END TIME: 
EXPERIENCE INFORMATION
   DO YOU HAVE EXPERIENCE WORKING IN A RETAIL ENVIRONMENT?
 
YES NO
  PLEASE INDICATE YOUR YEARS OF RETAIL EXPERIENCE ( IF APPLICABLE )
 
  WHO WAS YOUR LAST RETAIL EMPLOYER?
 
  IF CURRENTLY UNEMPLOYED, WHY DID YOU LEAVE YOUR MOST RECENT EMPLOYER?
 
  WHY DO YOU WANT TO WORK FOR VANS?