APPLY to Join Our Team!

An equal opportunity employer, L. Mae Boutique, LLC does not discriminate in hiring or terms and conditions of employment because of an individual's race, color, religion, gender, national origin, citizenship, age, disability, sexual orientation or marital status. L. Mae Boutique, LLC only hires individuals authorized for employment Social Security Number in the United States.
Application for Employment
Name of Applicant *

First Name Middle Name Last Name
Email *
example@example.com
Phone Number *
Please enter a valid phone number.
Current Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Permanent Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Type of Work for Which You are Applying *
First Choice
Second Choice
Date Available to Start Work *

Month Day Year
Date
Do you have transportation to work? *
Type of work desired *

Full Time/Permanent Part Time Summer/Seasonal
What hours can you work? *

Days Evenings Any

Specify Hours Available *

Personal
Are you eligible to work in the USA? *

Yes No
Are you at least 18 years old? *

Yes No
If no, please state date of birth

Month Day Year
Date
Education
High School* Highest grade completed *
Did you graduate? *

Yes No
College or Trade School Field of study
Did you graduate?

Yes No
Other education
Employment Record

List most recent employers first, include all former employers and self-employment.
Employers name * Phone number *
Employers Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
From Date* To Date*
Supervisors name First Name* Last Name* Your job title *
Describe your duties *
Start pay * End pay *
Reason for leaving *
Employers name Phone number
Employers Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
From Date To Date
Supervisors name First Name Last Name Your job title
Describe your duties
Start pay End pay
Reason for leaving
Employers name Phone number
Employers Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
From Date To Date
Supervisors name First Name Last Name Your job title
Describe your duties
Start pay End pay
Reason for leaving
Have you ever been dismissed or forced to resign from any employment? *

Yes No
If yes, please explain:
Have you ever been convicted of any crime as an adult? *

Yes No
If yes, please state details: (Convictions will not necessarily disqualify an applicant. You are not required to disclose sealed or expunged records of conviction or arrest)
Academic and Professional Achievements *
Special Skills - Other skills applicable to position applied for *
Why are you interested in working for L. Mae Boutique? *
Other information you would like us to know about you.
AUTHORIZATION - ALL APPLICANTS MUST SIGN BELOW

If I am employed, I agree to abide by the rules and regulations of L. Mae Boutique, LLC. I also understand filling out this application form does not indicate there is a position open and does not obligate L. Mae Boutique, LLC to hire me. I understand that if employed by L. Mae Boutique, LLC, my employment is at-will, this means that I do not have a contract of employment for any particular duration or limiting the grounds for my termination in any way. I am free to resign at any time. Similarly, L. Mae Boutique, LLC is free to terminate my employment at any time for any reason. I understand that while personnel policies, programs and procedures may exist and be changed from time to time, the only time my at-will status could be changed is if I were to enter into an express written contract with L. Mae Boutique, LLC explicitly promising me job security and signed by an officer of L. Mae Boutique, LLC. The above language contains our entire agreement about my at will status and there are no oral or side agreements of any kind. I hereby authorize L. Mae Boutique, LLC to thoroughly investigate my background, credit history, references, employment record and other matters related to my suitability for employment. I authorize any person, school, my current employer and/or previous employers in organizations contacted by L. Mae Boutique, LLC to provide any relevant information regarding my current and/or previous employment, and I release all persons, schools and employers of any and all claims for providing such information. All of the information I have supplied in this application is a true and complete statement of facts. I understand that false, misleading, misrepresentation or omission of facts on this application, resume, and/or in the recruiting process may result in rejection of this application, or if employed, termination from employment.
Signature *

Clear
Date *

Month Day Year
Date
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