Receptionist Job Application

First & Last Name (required)

CONTACT INFO:

Email Address (required)

Mailing Adress

AVAILABILITY INFORMATION

How did you hear about this job?

Raging Roots Facebook PageEnfield Open ForumRaging Roots WebsiteCraigslist

What days are you available to work?

Sunday (closed)Monday (closed)TuesdayWednesdayThursdayFridaySaturday

What shift(s) are you available to work?

What date can you start work?

Do you have reliable transportation to and from work daily?

YesNo

PERSONAL INFORMATION

Date of Birth:

Are you a U.S. Citizen or otherwise approved to work in the United States?

YesNo

Do you have any condition which would require job accommodations?

YesNo

If yes, please describe the required accommodation below:

Have you ever been convicted of a criminal offense? (Felony or misdemeanor)

YesNo

If yes, please describe the nature of the crime(s):

Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.

JOB SKILLS/QUALIFICATIONS

Please list the skills and qualifications you possess for the position for which you are applying:

EDUCATION & TRAINING

High School

High School (Name & Location)

Year of Graduation High School:

Degree Earned:

College/University

College/University (Name & Location)

Year of Graduation from College/University:

Degree Earned:

Vocational School/Specialized Training

Vocational School/Specialized Training (Name & Location)

Year of Graduation from Vocational School/Specialized Training:

Degree Earned:

Military Training

Are you a member of the military?

YesNo

In which branch of the military did you enlist?

ArmyArmy ReservesNavyNavy ReservesAir ForceAir Force ReservesMarine Corp

What was you rank when you were discharged

How many years did you serve in the military?

What military skills do you have that will be an asset to this position?

PREVIOUS EMPLOYMENT

Employer Name:

Job Title:

Supervisor Name:

Employer Address:

Employer Telephone:

Dates Employed:

Reason for Leaving:

Employer Name:

Job Title:

Supervisor Name:

Employer Address:

Employer Telephone:

Dates Employed:

Reason for Leaving:

Employer Name:

Job Title:

Supervisor Name:

Employer Address:

Employer Telephone:

Dates Employed:

Reason for Leaving:

Any relationship between you and Raging Roots Studio, LLC. is referred to as "employment at-will". This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice either by you or Raging Roots Studio, LLC. No representation of Raging Roots Studio, LLC. has any authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will" and that you acknowledge that no oral or written statements or representations regarding you employment can alter you at-will status, except for a written statement by the owner of Raging Roots Studio, LLC.

By typing your name in the following field you agree to all the above terms.

Signature

Date:

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