FirePot Job Application

FirePot Job Application
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
E-mail*
example@example.com
Phone Number*
Date of Birth*

MonthDayYear
Date
What position are you applying for?*
If you selected 'Other', please specify
Employment Type*
Available start date:

MonthDayYear
Date
Desired Pay
Background
What is your current employment status?*

EmployedUnemployedSelf-EmployedStudent
Are you legally eligible to work in the US?*

YesNo
Have you ever been convicted of a felony?*

YesNo
Please provide details if you are not eligible to work in the US or have been convicted of a felony.

0/500
References

Please list at least 1 reference. *

	Name	Relation	Company (If Available)	Contact Info
1
2
3

How do you prefer to submit your resume? (If available)*

Upload FileProvide URLNo Resume
Upload Resume

Cancelof
Previous Employment

If no resume is available, please list your previous employment details. (If resume already provided, or no previous employment experience, you may type NA into any field to bypass this option.)*

	Company	Position	Start Date	End Date	Reason for Leaving
1
2
3

Available Times

Please fill in your availability for each day of the week. (e.g., If you're available between 5-6PM on Mondays, please check both 5PM and 6PM boxes under Monday. This can just be a general estimate of when you're most commonly available and will not be the only resource used to schedule hours.)*

	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday	Sunday
11:00 AM
12:00 AM
1:00 PM
2:00 PM
3:00 PM
4:00 PM
5:00 PM
6:00 PM
7:00 PM
8:00 PM
9:00 PM
10:00 PM
11:00 PM

Referral Information
Who referred you? (NA if not available)*
Should be Empty:

FirePot Job Application

Background

References

Previous Employment

Available Times

Referral Information