ARBITRATION AGREEMENT
Background:  Sticky Fingers uses the American Arbitration Association to ad-
minister any work disputes that result in arbitration. The AAA, as it is called, is a 
not-for-profit, public service organization that has been around since 1926. Over 
4,000,000 workers are now covered by dispute resolution plans administered 
by the AAA.   The AAA is the gold standard in fair, equitable and swift dispute 
resolution procedures, and we are proud to be among employers who rely on 
the AAA.
Agreement:   As  a  condition  of  my  application,  I  agree  that  any  claims  that  I 
might bring, including those alleging discrimination; harassment; unlawful wage/
hour  practices;  wrongful  demotion  or  termination;  and/or  breach  of  contract 
arising during my employment (if I am offered and accept employment) will be 
presented to a neutral arbitrator for final and binding decision under the AAA's 
National Rules for the Resolution of Employment Disputes within one year of the 
date the dispute first arose.  Sticky Fingers will pay all costs other than a $125 
filing fee that I would pay to begin the arbitration process.  
Nothing in this agreement affects my right to an investigation by the Equal Em-
ployment Opportunity Commission (or an appropriate state agency), my right of 
access to the National Labor Relations Board, or judicial review of a decision 
issued by a state or federal agency after an administrative hearing involving my 
application or employment.
I also agree that if a court or arbitrator declares that any part of this Agreement 
is unenforceable, that declaration will not affect the validity of the remainder of 
the Agreement.
THIS AGREEMENT  IS A  WAIVER  OF ALL  RIGHTS  TO  CIVIL  COURT AC-
TIONS  FOR  CLAIMS  ALLEGING  DISCRIMINATION;  HARASSMENT;  UN-
LAWFUL  WAGE  OR  HOUR  PRACTICES;  UNLAWFUL  TERMINATION  OR 
DEMOTION; OR BREACH OF AN EMPLOYMENT CONTRACT.  ONLY THE 
ARBITRATOR, AND NOT A JUDGE OR JURY, WILL DECIDE THE CLAIM OR 
DISPUTE.
This contains the entire agreement between Sticky Fingers and me concerning 
dispute resolution; there are no other agreements either oral or written.
 
 
 
 
 
 
 
 
 
 
Applicant's Name 
 
 
 
 
Date
 
 
 
 
 
 
Signature (parent/guardian's signature needed if applicant is under the age of 18)
Employment Experience & Education
Start with your present or most recent employer
High School/GED/College/Other:
Name Location:
Years Attended:
Did you graduate? 
q
 Yes   q No
Degree Earned:
Employer #1
Employer 
Phone Number   
From  To
   
 
Supervisor
Address
Position   
 
 
 
Start End
Reason for leaving 
 
 
 
 
 
Work Performed
Dates 
Employed
Hourly/Salary
Employer #2
Employer 
Phone Number   
From  To
   
 
Supervisor
Address
Position   
 
 
 
Start End
Reason for leaving 
 
 
 
 
 
Work Performed
Dates 
Employed
Hourly/Salary
Please Read and Sign