Application Form - Getting to know you better

Application: Let us get to know you

Fill out the form below, please be accurate and thorough.
We currently do not offer health insurance.

If your family situation requires health insurance as part of your compensation package, we thought we would let you know this now and save you from filling out the rest of the form. If it is not a requirement, please continue. We are excited to read your answers and get to know you.
Which position are you applying for? *
Full Name *

First Name Last Name
Phone Number *

Area Code Phone Number
Email Address *
Are you 18 or older? *

Yes No
Current Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Is this address within a 20 minute drive from zip code 18106 (Trexlertown PA)? *

Yes No
Do you have your own reliable transportation *

Yes No
Do you have a valid drivers license? *

Yes No
Are you available to work M-F 7am-5pm? *

Yes No
Are you available to work Weekends if needed? *

Yes No Yes, with enough notice
How did you hear about this job opening? *

Facebook Indeed Craigslist Referral
Date you would be available start: *

Month Day Year
General Questions About You

You are almost done!
What are some things you do in your spare time? *
Are you a Morning Person, or Night Owl? *

Sunrises are great and make me feel ready to slay the day! Stars and moonlight is when I am the most productive and happy.
What attracted you to this job? *
What is your biggest achievement you are proud of? *
Where do you picture yourself in 2 years? (Close your eyes and think for a minute or two before answering this question.) *
Tell us a Dream of yours that you want to accomplish in your lifetime. *
Assume you owned a business: How many times per month would you allow an employee to call off the morning of a scheduled work day? *
Please briefly explain your answer to the above question: *
Cookies or Brownies (If you had to choose one) *

Cookies Brownies
Your favorite color: *
Describe your day yesterday. (What did you do yesterday from when you woke up to when you went to sleep) *
How do you keep a smile on your face during a hard day? *
Who is your favorite superhero? *
Employment History

Tell us about your previous jobs. Take your time on this section.
Most Recent Employer
Company Name *
Supervisors Name *
Contact Phone Number *

Area Code Phone Number

Employment Duration MM/YY *

Started

Ended

Employment Dates

If you are still employed with this company, is it acceptable for us to contact them through our hiring process?

Yes No
What was your compensation? (Hourly pay/ Salary/ Benefits) *
Type(s) of work preformed: *
What did you enjoy MOST at this job/ company? *
What did you enjoy LEAST at this job/ company? *
Why did you (or are looking to) leave this job? *

How would your supervisor rate your performance? *

	1	2	3	4	5

1 is Meh, 5 is All-Star

"I understand that if any of the above information is fabricated, untrue or incorrect I will not be considered for employment. In the event I am hired and this information is found to be fabricated, untrue or incorrect my employment will be terminated."
Signature *

Clear
Thank you so much for taking the time to complete this application. Somone from our team reviews each application carefully. If you stood out from the crowd, we will call you at the number you provided to arrange a brief 13 minute phone interview.

Have an awesome day!
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Application: Let us get to know you

We currently do not offer health insurance.

General Questions About You

Employment History

Most Recent Employer