The Shimmy Shack || Job Application

APPLICATION FOR EMPLOYMENT
Shimmy, LLC is an equal opportunity employer. Shimmy, LLC does not discriminate in employment with regard to race, color, religion, national origin, citizenship status, ancestry, age, sex (including sexual harassment), sexual orientation, marital status, physical or mental disability, military status or unfavorable discharge from military service or any other characteristic protected by law.
Incomplete information could disqualify you from further consideration.

Please complete all fields.

PERSONAL INFORMATION
Name*

First NameLast Name
Phone Number*
Format: (000) 000-0000.
Address
Email Address
example@example.com
Are you at least 18 years or older?
If answered no, you may be required to provide authorization to work.
YesNo
YesNo
If no, explain
YesNo
If no, explain
YesNo

EDUCATION HISTORY

Rows	Name & Location of School	Degree(s) Received	Major/Subject Studied
High School
College/University
Trade/Business or Correspondence School

Professional References:

EMPLOYMENT HISTORY:
Are you currently employed?
YesNo
YesNo
If yes, please provide company name and details
Include your most recent employment history starting with the most recent and working backwards in time. Incomplete information could disqualify you from further consideration.
I was / am currently employed at business name from date to date . The business is located at: (insert business address) and their phone number is: (000) 000-0000. My immediate Supervisor was: nameand their title is: job title.
Summarize the nature of work performed & your job responsibilities:
Reason for leaving?
I was employed at business name from date to date . The business is located at: (insert business address) and their phone number is: (000) 000-0000. My immediate Supervisor was: nameand their title is: job title.
Summarize the nature of work performed & your job responsibilities:
Reason for leaving?
I was employed at business name from date to date . The business is located at: (insert business address) and their phone number is: (000) 000-0000. My immediate Supervisor was: nameand their title is: job title.
Summarize the nature of work performed & your job responsibilities:
Reason for leaving?

TELL US A LITTLE MORE ABOUT YOURSELF:
Do you have any special skills, experience and/or training that would enhance your ability to perform the position applied for?
Why do you think you would be a good fit for our team?
Strengths, weaknesses, skills, etc..
Tell me something about yourself that isn't on this application or your resume

Please read carefully before signing.

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for Shimmy, LLC to hire me. If I am hired, I understand that either Shimmy, LLC or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of Shimmy, LLC has the authority to make any assurance to the contrary. I attest with my signature below that I have given to Shimmy, LLC true and complete information on this application. No requested information has been concealed. I authorize Shimmy, LLC to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal.
Signature
Date

MonthDayYear
Date
PLEASE NOTE:

Once submitted, your resume will be kept on file.

We are not actively hiring at this time.

We will contact you directly, if you have been selected for an interview.

Please do NOT submit this form multiple times.

2200 W. WADLEY AVENUE I SUITE 8 I MIDLAND, TEXAS 79705

APPLICATION FOR EMPLOYMENT