Employment Application Form

Job Application Form
JOB APPLICATION FORM FOR GYPSY SOUL AND SOUTHERN CANDLE STUDIO
Name*

First NameLast Name
Are you older than 21 years old?*

YESNO
Date of Birth*

MonthDayYear
Date
How did you find this application to apply?
ADDRESS
Street Address*
Apartment/Unit
City*
State*
Zip Code*
Phone*
E-mail*
example@example.com
Date Available to start*

MonthDayYear
Date
Work Desired (Part-Time/ Full-Time)*
Desired Salary per hour: $*
Position Applied For*
Are you a citizen of the United States?*

YesNo
If no, are you authorized to work in the U.S.?*

YesNo
Have you ever been convicted of a felony?*

YesNo
If yes, explain
Education
High School*
From (Year)*
To (Year)*
Did you graduate from the High School?*

YesNo
College (If Any)
Did you graduate from the college?

YesNo
From (Year)
To ( Year)
Availability

(Please write exact time when you are available to work. Please check our specific location hours before answering this question below.)

Availability- If there are days you are not able to work, please write N/A*

When you work in the business hours if required,*

	YES	NO
Can you work long hours? (8 hrs or more)
Can you work weekend?
Can you stand long period of hours? (6 hrs or more)
Can you lift occasionally up to 20 lbs?
Do you have reliable transportation?

How comfortable are you to talk to people? ( Scale 1-10, 10 is being confident)*

1

2

3

4

5

6

7

8

9

10

1 is Not Comfortable, 10 is Very Comfortable
Explain why you pick the number above about your communication skills
References
Name of your reference*
Company
Relationship*
Phone*
Address (Optional)
E-mail address of your reference (if known)
Last Employment
Company*
Address*
Your Last Job Title*
Supervisor*
Phone Number of Your Supervisor*
Responsibilities*
From Date (MM-YY)
To Date (MM-YY)
Reason for Leaving*
May we contact your previous supervisor for a reference?*

YESNO
If No, Please Explain*
Military
Are you a veteran?

YESNO
Why you would like to work with us? (Minimum of 5 words) *

0/5000
I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

I understand that Southern Candle Studio and Gypsy Soul can hold my information for future employment opportunities.
Signature*

Clear
Today's Date*

MonthDayYear
Date
Should be Empty:

Job Application Form