Store applying to* |
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Desired position(s) * |
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Are you 18 or older * |
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If under 18, what is your age? |
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Are you either a U.S. citizen or
authorized to work in the United States? |
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Have you previously been employed
with Lolas? * |
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If so,
where? |
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If so,
when? |
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If so,
position held? |
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If so,
reason for leaving? |
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LIST THE NAMES OF RELATIVES EMPLOYED BY Lolas, RELATIONSHIP AND THEIR WORK LOCATIONS |
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Have you been convicted of a crime in the last 7 years?* |
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If so, state the date, location, nature and disposition of the offense (This does not disqualify you from employment) |
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Have you ever been fired from a job?* |
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If so, explain |
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Were you given the opportunity to resign rather than be fired?* |
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Date
Available |
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Total Hours Available Per Week |
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Education |
Name and address of Schools Attended |
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Year Last Attended |
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Highest Grade/Level completed |
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Languages Spoken* |
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Employment History |
List 4 most recent jobs. Start with your present or last job. Also include any periods of unemployment, military service, and volunteer and/or part-time work experience. |
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May we contact your previous
employer? * |
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References Professional/Personal References (3 Minimum) Name, Phone Number, Address & Relation |
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READ THE FOLLOWING CAREFULLY THEN SUBMIT THE APPLICATION |
I hereby certify that the information contained in this application form is true and correct to the best of my knowledge and agree to have any of the statements checked by Lolas unless I have indicated to the contrary. I authorize the references listed above, as well as all other individuals whom Lolas contacts, to provide Lolas any and all information concerning my previous employment and any other pertinent information that they may have. Further, I release all parties and persons from any and all liability for any damages that may result from furnishing such information to Lolas as well as from any use or disclosure of such information by Lolas or any of its agents, employees or representatives. I understand that any misrepresentation, falsification or material omission of information on this application may result in my failure to receive an offer or, if I am hired, my immediate dismissal from employment.
In consideration of my employment, I agree to conform to the rules and standards of Lolas. 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 Lolas. I understand that no employee or representative of Lolas, other than the President of Lolas, has the authority to enter into any agreement for employment for any specified period of time, or to make any express or implied agreement contrary to the foregoing. Further, the President of Lolas may not alter the at-will nature of the employment relationship or enter into any employment agreement for a specified time unless the President of Lolas and I both sign a written agreement that clearly and expressly specifies the intent to do so. I agree that this shall constitute a final and fully binding integrated agreement with respect to the at-will nature of my employment relationship and that there are no oral, written or collateral agreements regarding this issue.
I understand that all offers of employment are conditioned on satisfactory proof of my identity that I am of legal age and that I have legal authorization to work in the United States, as well as the company's receipt of satisfactory responses to reference requests, my passing any required drug screening test, and completion of post offer medical examination, if applicable.
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Incorrect
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