Job Application

Phone

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Position Applying For*

Are You Seeking*

Full Time

Part Time

Date You Can Start*

Personal Information

Your Name*

First Last

Your Phone Number*

Your Email

Your Address*

Street Address Address Line 2 City State ZIP Code

Are You Eligible to Work in the United States?*

Yes

Are You At Least 18 Years of Age or Older?*

Yes

Can You Work Any Shift?*

Yes

Can You Work Overtime, Including Nights & Weekends?*

Yes

Are You Able to Perform the Essential Functions of The Job for Which You Are Applying, With or Without a Reasonable Accommodation?*

Yes

Referral Source

How Did You Hear About Us?*

Walk-In

Referral

Other

Referral Source*

Have You Ever Worked for DelightMore?*

Yes

Please Provide Dates, Supervisors, Etc.*

Do You Know Anyone Who Works For DelightMore?*

Yes

Please Provide Name & Length of Time Known*

Do You Have Any Relatives Currently Working For DelightMore?*

Yes

Please Provide Name & Relationship For Each*

Background

Are You Currently Employed?*

Yes

Have You Ever Been Terminated from Employment or Asked to Resign by an Employer?*

Yes

Please Provide Company Names & Contacts*

Have You Ever Been Convicted Of A Felony Offense?*

A conviction will not necessarily disqualify you for employment. Rather, such factors as age, date of conviction, seriousness, and nature of the crime will be considered

Yes

Please Provide Dates & Location for All Convictions*

Current/Most Recent Employer

Employed From:*

Employed To:*

Starting Salary:*

Ending Salary:*

Company Name*

May We Contact?*

Yes

Company Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Position Title*

Supervisor*

Supervisor's Title*

Nature Of The Work Performed & Position Responsibilities*

Reason For Leaving*

Do You Have Additional Work History*

Yes

Second Most Recent Employer

Employed From:*

Employed To:*

Starting Salary:*

Ending Salary:*

Company Name*

May We Contact?*

Yes

Company Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Position Title*

Supervisor*

Supervisor's Title*

Nature Of The Work Performed & Position Responsibilities*

Reason For Leaving*

Do You Have Any Additional Work History?*

Yes

Third Most Recent Employer

Employed From:*

Employed To:*

Starting Salary:*

Ending Salary:*

Company Name*

May We Contact?*

Yes

Company Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Position Title*

Supervisor*

Supervisor's Title*

Nature Of The Work Performed & Position Responsibilities*

Reason For Leaving*

Education

High School*

Yes

High School Name*

High School Address*

City State / Province / Region

High School Years Attended*

High School Degree*

Yes

College Or University*

Yes

College Name*

College Address*

City State / Province / Region

College Years Attended*

College Subjects/Major*

College Degree*

Yes

Graduate School*

Yes

Graduate School Name*

Graduate School Address*

City State / Province / Region

Graduate School Year Attended*

Graduate School Subjects/Major*

Graduate School Degree*

Yes

Trade/Business School*

Yes

Trade/Business School Name*

Trade/Business School Address*

City State / Province / Region

Trade/Business School Years Attended*

Trade/Business School Subjects/Major*

Trade/Business School Degree*

Yes

Licenses/Certifications*

Yes

Licenses/Certifications Name/Type*

Licenses/Certifications Issued By*

Licenses/Certifications Issue Date*

Licenses/Certifications Expiration Date*

Special Skills, Experience, And/Or Training That Would Enhance Your Ability To Perform The Position Applying For*

Equipment And/Or Computer Skills*

References

Reference 1 Name*

First Last

Reference 1 Phone*

Reference 1 Occupation*

Reference 1 Years Known*

Reference 2 Name*

First Last

Reference 2 Phone*

Reference 2 Occupation*

Reference 2 Years Known*

Reference 3 Name*

First Last

Reference 3 Phone*

Reference 3 Occupation*

Reference 3 Years Known*

Legal

Acknowledgement*

It is the policy of DelightMore to provide equal employment opportunity to all qualified persons without regard to citizenship, race, color, creed, religion, gender, sexual orientation, age, national origin, marital status, disability, or veteran status. This application will be given every consideration, but its receipt does not imply that there are any open positions or that applicant will be employed. Only applicants meeting the minimum requirements for a position as determined by the company will be considered for employment. Should more than one qualified person make application, the company reserves the right to select the applicant that, in its opinion, possesses the best qualifications.

In making this application for an employment an investigative consumer report may be prepared whereby information is obtained through personal interviews with neighbors, friends, or other acquaintances. Such an inquiry would include information as to character, general reputation, personal characteristics, and mode of living of the applicant. An applicant has the right to make a written request within a reasonable period of time to receive additional detailed information about the nature and scope of this investigation.

Authorization (Please Read Carefully Before Signing)*

I authorize investigation of all statements contained in this application (if I am considered for employment) and hereby authorize previous employers, personal references named, or any other person or persons to whom the company may refer, to give any and all information regarding my background if requested.

If employed, I agree to engage in no outside activity which would involve a material conflict of interest with, or which could, as determined by the company, reflect adversely on the company.

If employed, I agree to maintain confidentiality regarding any information concerning the company that may come to my knowledge. Further, I agree to comply with all of the policies and regulations of the company as set forth in the company’s employee handbook or other communications distributed to all employees.

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for the company to hire me. I understand that if employment is offered to me, either verbally or in writing, such offer does not constitute a contract of employment. I understand that if I am employed by the company my employment will be for no definite period of time and that my employment can be terminated at any time and for any reason, with or without cause and without prior notice, at the option of either the company or myself. I also understand that this status can only be altered by a written contract of employment, specific to all material terms, that is signed by an authorized officer of the company.

I attest with my signature below that I have read all of the above statements and understand the same and that all statements made by me are true and accurate to the best of my knowledge and that I have withheld nothing that would, if disclosed, affect this application unfavorably. I understand that any false statements or material omissions may be grounds for refusal to hire, or for immediate dismissal. I certify that I am at least 18 years of age and am legally authorized to work in the United States. Additionally, I understand that nothing contained in this employment application or in the granting of an interview is intended to create an employment contract between myself and the company for either employment or for the providing of any benefit.

I understand that as a condition of this application and any employment, I may be required to submit to testing for the presence of illegal drugs. I hereby consent to such testing. I further acknowledge that no promise or guarantee is binding upon the company unless made in a written contract of employment as described above.

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Job Application

Personal Information

Referral Source

Background

Current/Most Recent Employer

Second Most Recent Employer

Third Most Recent Employer

Education

References

Legal

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