CHRONIC SUNSHINE LLC

1023 Massachusetts St, Lawrence, Kansas 66044
Chronic Sunshine LLC is an equal opportunity employer. Please fill out all of the sections below:
Employment Position Applying for:

Part Time Sales Associate
First and Last Name:

First NameLast Name
Address:

Address

Street Address Line 2

City, State and Zip CodeState / Province

Postal / Zip Code
Phone Number:
Email Address:
example@example.com
Are you 18 years of age or older?

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

NoYes
If yes, please state the nature of the crime(s), when and where convicted and disposition.
Do you have a reliable transportation to and from work?

YesNo
Do you have any friends, relatives, or acquaintances working for Chronic Sunshine?

NoYes
If yes, state name & relationship:
How did you hear about this position?

InstagramIn-store
Availability

Chronic Sunshine store hours: monday-sunday 11-7PM.
Do you have summer availability?

YesNo
What days are you available for work? (please see store hours above)
What hours are you available for work? (please see store hours above)
On what date can you start working if you are hired?

MonthDayYear
Date
Hourly rate desired:
Kansas minimum wage is $7.50 as of 2023.
Please list below the skills and qualifications you possess for the position(s) you are applying for:
List the most current education(s) down below: (High School, College, Trade School, Etc.)
Name 1:
Location (City, State):
Year Graduated:
Degree Earned:
Name 2:
Location (City, State):
Year Graduated:
Degree Earned:
Previous Employment History:
Employer Name 1:
Name of Establishment:
Job Title/ Position:
Employer Address:
City, State, and Zip Code
Employer Telephone:
Description of Job Duties:
Start Date: Date End Date: Date Currently Employed
Reason for leaving:
Employer Name 2:
Name of Establishment:
Job Title/ Position:
Employer Address:
City, State, and Zip Code
Employer Telephone
Start Date: Date End Date: Date Type option 1 Currently Employed
Reason for leaving:
Employer Name 3:
Name of Establishment
Job Title/ Position:
Employer Address:
City, State, and Zip Code
Employer Telephone:
Start date: Date End Date: Date Currently Employed
Reason for leaving:
The relationship between you and Chronic Sunshine LLC is referred to "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, by you or Chronic Sunshine LLC. No representative of Chronic Sunshine LLC has 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 your employment can alter your at-will employment status, except for a written statement signed by you and either our Executive Vice-President/Chief Operations Officer or the Company's President.
Applicant Signature:

Clear
Date Signed:

MonthDayYear
Date
Should be Empty:

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Chronic Sunshine LLC is an equal opportunity employer. Please fill out all of the sections below:

Availability

List the most current education(s) down below: (High School, College, Trade School, Etc.)

Previous Employment History: