Village Gift Barn

JOB APPLICATION

Name *
Name
Address *
Address
Phone *
Phone
POSITION
Worked for us before? *
Date of Hire
Date of Hire
Referred by: *
WORK EXPERIENCE
Start Date *
Start Date
End Date *
End Date
$
Pay Rate *
Supervisors Name *
Supervisors Name
Employer Phone Number *
Employer Phone Number
May we contact this employer? *
Employer Information
Start Date
Start Date
End Date
End Date
$
Pay Rate
Supervisors Name
Supervisors Name
Employers Phone Number
Employers Phone Number
May we contact this employer
Addition Employer Information
Start Date
Start Date
End Date
End Date
$
Pay Rate
Supervisors Name
Supervisors Name
Employers Phone Number
Employers Phone Number
May we contact this employer
Personal Information
Have you ever been convicted of a felony? *
Diploma/Degree Recieved
Diploma/Degree Recieved
Diploma/Degree Recieved
Skills and qualifications
References
Reference #1 *
Reference #1
Phone Number *
Phone Number
Years Known
Reference #2 *
Reference #2
Phone Number *
Phone Number
Years Known
Reference #3 *
Reference #3
Phone Number *
Phone Number
Years Known
Information to Applicant *
I have applied for employment with Olde Berlin Village Shoppes. I understand the Company may verify the information sent forth in this application and obtain additional background information. I authorize all persons, schools, companies, corporations and law enforcement authorities to supply any information concerning my background. I certify that the information on this application is correct that any misenterpretation or omission of any information will result in my disqualification from consideration for employment, or, if employed my dismisal. I understand that this application is not a contract, offer or promise of employment that if employed I may resign such employment at my discretion with or without notice. Likewise the company can terminate my employment at any time with or without cause, unless otherwise required by law. I further understand that none other than the owners of Olde Berlin Village Shoppes has the authority to enter into an employment contract or agreement with me, and that my at-will employment can be changed only by written agreement signed by the owners of Olde Berlin Village Shoppes. I understand that this application is good only for sixty (60) days from today's date. If I still desire a position with the company after this application has expired; It will be my responsibility to complete a new application and file it with the Company. Failure to do so will result in the Company not considering me for employment. Olde Berlin Village Shoppes are Equal Opportunity Employers