Deelux Jobs

APPLICATION FOR EMPLOYMENT
To which location are you applying? *
Personal Information
Full Name *

First Name Last Name
E-mail *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number *

Area Code Phone Number
Are you at least 18 years of age or older? *

Yes No
How were you referred to DeeLux? *
Are you a citizen of the United States? *

Yes No
If hired, can you furnish proof you are eligible to work in the U.S.? *

Yes No
Have you ever been convicted of a felony? *

Yes No
If yes, please explain:
What are some of your hobbies and interests? *
Instagram Handle:(optional)

Employment History Information
Company Name *
City, State *
Position Held *
Supervisor *

First Name Last Name
Supervisor phone

Area Code Phone Number
May we contact supervisor for a reference?

Yes No
Start Date

Month Day Year
Date Finished

Month Day Year
Describe your duties: *
Reason for leaving *
NEXT EMPLOYER
Company Name
City, State
Position Held
Supervisor

First Name Last Name
Supervisor phone

Area Code Phone Number
May we contact supervisor for a reference?

Yes No
Start Date

Month Day Year
Date Finished

Month Day Year
Describe your duties:
Reason for leaving
NEXT EMPLOYER
Company Name
City, State
Position Held
Supervisor name

First Name Last Name
Supervisor phone

Area Code Phone Number
May we contact supervisor for a reference?

Yes No
Start date

Month Day Year
Date Finished

Month Day Year
Describe your duties:
Reason for leaving

EDUCATION INFORMATION
HIGH SCHOOL
Name & Location of High School *
Did you graduate? *

Yes No Attending
What year did you graduate? *

Month Day Year
Date
COLLEGE OR UNIVERSITY
Name & Location of College or University
Course of Study/ Degree Earned
Did you graduate?

Yes No Attending
What year did you graduate?

Month Day Year
Date
OTHER
Name & City/State of OTHER (specify)
Course of Study/ Degree Earned
Did you graduate?

Yes No Attending
You should hire me because... *
Resume

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.
Choose ONE: *

I ACCEPT I DO NOT accept
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