Application for Employment
Personal Information
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Education & Experience
Please list any education, training, or certifications that are relevant to the position for which you are applying. Include degrees earned, areas of study, professional licenses, or other specialized training or experience that demonstrates your qualifications.
*
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General Information
Date you can start working
*
-
Month
-
Day
Year
Date
Postion(s) Desired
*
Pay Expected
*
Are you 18 years old or older?
*
Yes
No
Are you eligible for employment in the U.S.?
*
Yes
No
How many hours per week are you available to work?
*
Please select your availability
*
Mornings
Afternoons
Evenings
None
Sundays
Mondays
Tuesdays
Wednesdays
Thursdays
Fridays
Saturdays
Do you have your own form of transportation?
*
Yes
No
How did you hear about OLC?
*
If employee or member, please list their name.
Are you related to a current OLC employee?
*
Yes
No
If yes, who?
*
Are you related to a current OLC member?
*
Yes
No
If yes, who?
*
Have you ever been convicted of a crime that is substantially related to the position for which you are applying?
*
Yes
No
If yes, please provide the date(s), nature of the offense(s), and a brief explanation.
*
A conviction will not automatically disqualify you from employment. All information will be reviewed in relation to the duties of the position for which you are applying.
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Employment History
Begin with the most current
Do you have any employment history to add to your application?
*
Yes
No
Company Name
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Employment Dates (MM/YY - MM/YY)
*
Position Held
*
Are you still employed here?
*
Yes
No
Current Pay Rate
*
Ending Pay Rate
*
Reason for Leaving
*
Do you need to add additional employment?
*
Yes
No
Company Name
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Employment Dates (MM/YY - MM/YY)
*
Position Held
*
Ending Pay Rate
*
Reason for Leaving
*
Do you need to add additional employment?
*
Yes
No
Company Name
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Employment Dates (MM/YY - MM/YY)
*
Position Held
*
Ending Pay Rate
*
Reason for Leaving
*
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Resume & Cover Letter
If you'd like to include a resume and/or cover letter, please upload it here.
Browse Files
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Application Acknowledgement
The information provided in this Application for Employment is true, correct, and complete. If employed, any misstatement or omission of fact on this application may result in my dismissal. I understand that acceptance of an offer of employment does not create a contractual obligation upon the employer to continue to employ me in the future. If you decide to engage an investigative consumer reporting agency to report on my credit and personal history, I authorize you to do so. If a report is obtained you must provide, at my request, the name and address of the agency so I may obtain from them the nature and substance of the information contained in the report.
Signature
*
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