Full Time

EMPLOYMENT APPLICATION

AN EQUAL OPPORTUNITY EMPLOYER

PLEASE COMPLETE ALL INFORMATION

ALL ANSWERS MUST BE LEGIBLE

DATE:

Name: LAST FIRST MIDDLE MAIDEN

Present address: NUMBER STREET CITY STATE ZIP

Preferred email: Telephone: GENERAL INFORMATION

THIS SPACE IS FOR YOU, EXPRESS YOURSELF.

HAVE FUN!

EDUCATION

If under 18, please list age:

POSITION/CRAFT APPLIED FOR: (be specific) Rate of pay desired

DRAGONFLY IS OPEN 7 DAYS A WEEK – WORKING HOURS RANGE FROM 9AM TO 2AM PLEASE FILL IN THE HOURS YOU ARE AVAILABLE TO WORK No Pref Thur

Mon Fri

Tue Sat

Wed Sun

How many hours can you work weekly: Can you work nights:

Can you work mornings:

Employment desired: FULL TIME ONLY PART-TIME ONLY FULL OR PART-TIME Date available to start work: Have you ever applied for a position with or worked for this Company before? YES NO TYPE OF SCHOOL NAME OF SCHOOL LOCATION

(Complete mailing address) NO. OF YEARS

COMPLETED/

GRADUATED MAJOR & DEGREE

Have you ever been convicted of a felony? (A conviction is not an automatic bar to employment. Each case will be considered on its own merits.) YES NO If yes, explain number of conviction(s), nature of o ense(s) leading to conviction(s), how recently such o ense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation. DO YOU HAVE A DRIVER’S LICENSE? YES NO

What is your means of tranortation to work? Driver’s license number State of issue Operator Commercial (CDL) Chau eur Expiration date Have you had any accidents during the past 3 years? H o w m a n y ? Have you had any moving violations duri H o w m a n y ? HOW LUCKY ARE YOU AND WHY? ng the past 3 years?

If you are not a U.S. citizen, do you have the right to work in the U.S.? YES NO If you are a craftsman. An artisan.

If you have a discerning palette and find purpose in creativity. If you desire to be committed to a family and find joy in meaningful connection. If you desire to always be improving.

Then welcome to the table.

PLEASE LIST 2 PEOPLE WHO THINK YOU’RE GREAT OTHER THAN RELATIVES OR PREVIOUS EMPLOYERS. What 3 items would you bring if you were on a deserted island and why? Name Address Why did you choose them? Why did you choose them?

Telephone Name Address

Telephone EMPLOYMENT HISTORY

REFERENCES

WORK

EXPERIENCE

Please list your previous work experience beginning with your most recent job held. If you were self-employed, give firm name.

*If you need additional space, please ask for additional paper from store representative so that you may continue your response on a separate page.

Name of employer

Address

Name of last

supervisor

Employment dates Pay or salary

City, State, Zip Code

Phone number From

To

Start

Final

Your last job title

Reason for leaving (be specific)

Name of employer

Address

Name of last

supervisor

Employment dates Pay or salary

City, State, Zip Code

Phone number From

To

Start

Final

Your last job title

Reason for leaving (be specific)

List the jobs you held, duties performed, skills used or learned, advancements or promotions and why you did/didn’t like working there. List the jobs you held, duties performed, skills used or learned, advancements or promotions and why you did/didn’t like working there. May we contact your present employer? YES NO Did you complete this application yourself? YES NO If not, who did? I hereby certify that the information contained in this application form is true and correct to the best of my knowledge. I authorize investigation of all statement containted in this application. I understand that the misrepresentations or omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give teh Company permission to contact schools, previous employeers (unless otherwise indicated), references, and others, and hereby release the Company from any liability as a result of such contract.

In consideration of my employment, I agree to conform to the rules and standards of the Company. I further agree that my employment and compensation can be terminated at will, with or without cause, and with or without notice, at any time, either at my option or at the option of the Company. I understand that no employee or representative of the Company, other than its president, has the authority to enter into an agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing. Further, the president of the Company may not alter the at-will nature of my employment relationship unless president and I both sign a written agreement that clearly and expressly specifies the intent to do so. I agree that this constitutes an integrated agreement with respect to the at-will nature of my employment relationship, that it is final and fully binding, and that there are no oral, written, or collateral agreements regarding this issue.

I also understand that all o ers of employment are conditioned on the provision of satisfactory proof of an applicant’s identity and legal authority to work in the United States.

Signature of applicant Date:

Contact this candidate