Palazzo Jewelers Application

Palazzo Jewelers - Employment Application

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Your Full Name*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
Current Home Address*
City, State & Zip Code*
How did you hear about this job opening?*
What type of position would you like to have within the company?*
What are you expecting to earn as an hourly pay rate for your position?*
Are you over the age of 18?*

YesNo
What type of time commitment are you looking to make with this company?*

Part Time (Under 30 hours)Full Time (Over 30 hours)
Ideally, what days and times would you like to work?
Are there any days or times you CAN NOT work, if so please explain?*
Why do you want to work for Palazzo Jewelers?*
If hired, what date would you be able to begin work?*
For how long would you intend to work with us?*
Please describe your personal short-term and long-term goals*
EDUCATION HISTORY

You will be able to upload a resume at the end of this application if you wish, however we ask that you still complete this simple form in full to increase our understanding of each candidate. Thank you.
Do you have a high school diploma?*

YesNo
Which high school did you attend or graduate from?*
Did you attend college?*

YesNo
If so, what college?
How many years did you attend college?
What did you study?
What was your grade point average?
Did you graduate? And if so, please describe your diploma
WORK HISTORY

Please list most recent history first
COMPANY #1 - Name, City
What was your position/title?
Dates of employment
From - To
What was your pay rate?
Your supervisors name?
What were your daily responsibilities?
Reason for leaving? (Please be specific)
COMPANY #2 - Name, City
What was your position/title ?
Dates of employment
From - To
What was your pay rate?
Your supervisors name?
What were your daily responsibilities?
Reason for leaving? (Please be specific)
COMPANY #3 - Name, City
What was your position/title?
Dates of employment
From - To
What was your pay rate?
Your supervisors name?
What were your daily responsibilities?
Reason for leaving? (Please be specific)
PERSONAL INFORMATION

Answer each question by selecting which best describes you.

How often do you smile?*

	1	2	3	4	5	6	7	8	9	10

1 is Low, 10 is High

How well do you embrace changes in life?*

	1	2	3	4	5	6	7	8	9	10

1 is Low, 10 is High

In general, how happy are you with your life?*

	1	2	3	4	5	6	7	8	9	10

1 is Low, 10 is High

How often to you feel fatigue from the daily grind?*

	1	2	3	4	5	6	7	8	9	10

1 is Low, 10 is High

How well do you handle daily challenges?*

	1	2	3	4	5	6	7	8	9	10

1 is Low, 10 is High

How detail oriented are you?*

	1	2	3	4	5	6	7	8	9	10

1 is Low, 10 is High

How much pride do you take in the way you look?*

	1	2	3	4	5	6	7	8	9	10

1 is Low, 10 is High

Would you prefer working in your own private office or within a large group?*
What do you like to do in your free time?*
As part of our company's pre-employment screenings, we conduct criminal background checks, are you willing to comply with this requirement?*

YesNo
Have you ever been convicted of a felony or misdemeanor?*

YesNo
If so, please explain
As part of our company's drug free workplace policy, we conduct pre-employment, post-accident and random drug testing, are you willing to comply with this requirement?*

YesNo
Are you able to stand on your feet for over 4 hours?*

YesNo
FILE UPLOADS
Please upload a picture of yourself so we can recognize you when we meet!*

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Please upload any additional file you wish to share with us

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You are not required to upload any files, however the more information we have the greater your chances of being called back for an on-site interview. By clicking the submit button below, you certify that all the above information is accurate and any misinformation may be grounds for termination.
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Palazzo Jewelers - Employment Application

EDUCATION HISTORY

WORK HISTORY

PERSONAL INFORMATION

FILE UPLOADS