Employment Application

Employment Application

Personal Information
Name

Full NamePreferred Name
Name
Full Name
Preferred Name
Are you old enough to sell tobacco products (vapes)?

YesNo
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.
Available start date:

MonthDayYear
Date
Please put a check mark in the box to represent your availability. Shifts are typically open-3 and 3-close or full days.
Days of the week

MONDAYTUESDAYWEDNESDAYTHURSDAYFRIDAYSATURDAYSUNDAY
Desired Employment

Full timePart timeSeasonal
Desired Location

BoonvilleBurkhardtLincoln ave.VincennesOwensboroJasper
Employment Eligibility
Are you a US Citizen?

YesNo
Have you ever been convicted of a felony?

YesNo
If yes, please explain:
Please list your highest level of education:
Desired Pay:
Please choose your responses below. There are no wrong answers.
Are you familiar with our company?

YesNo
Have you used any Delta products?

YesNo
Do you have any cannabis knowledge?

YesNo
Do you feel comfortable to be alone during shift?

YesNo
If asked, are you willing to submit to a background check?

YesNo
If you could try one product in store, what would it be?
Previous Employment
Employer 1:
Duties/ Responsibilities:
Employer 2:
Duties/ Responsibilities:
Employer 3:
Duties/ Responsibilities:
References 1
Name
Phone
Please enter a valid phone number.
Email
example@example.com
Reference 2
Name
Phone
Please enter a valid phone number.
Email
example@example.com
Reference 3
Name
Phone
Please enter a valid phone number.
Email
example@example.com
Disclaimer

Applicant understands that this is an equal opportunity employer and committed to excellence through diversity. In order to ensure this application is acceptable, please make sure all the fields are filled out with accuracy and legible handwriting to be considered.

Please complete all sections even if you have an attached resume.

I, the applicant, certify that my answers are true and honest to the best of my knowledge. If this application leads to my eventual employment, I understand that any false or misleading information in my application or interview may result in termination of employment.
Signature

Clear
Printed Name
Date

MonthDayYear
Date
Should be Empty:

Employment Application

Please put a check mark in the box to represent your availability. Shifts are typically open-3 and 3-close or full days.

Employment Eligibility

Please choose your responses below. There are no wrong answers.

Previous Employment

References 1

Reference 2

Reference 3