Lakeside Tan Application for Employment

Personal Information

First Name: _______________________ Last Name: _____________________________
Social Security Number: __________________

Street Address: ____________________________________________________________
City: _____________________ State: ____________ Zip: ________ County: ___________

Home Phone: _________________     Cell Phone: ______________________

Position Desired

Title: _______________________________________Desired Salary: $_______

Work Eligibility

Are you eligible to work in the United States? Yes: _______ No: _______
Are you available to work holidays? Yes: _______ No: _______

When will you be available to begin work? ______/______ (Month/Year)

Are you 17 or older? Yes: _______ No: _______     If no when? ____________

Have you been convicted of or pleaded no contest to a felony within the last five years? Yes: _______ No: _______
If yes, please explain: ___________________________________________________________
_____________________________________________________________________________

Have you been convicted of, pleaded guilty to, or pleaded no contest to, an act of dishonesty, or breach of trust or moral turpitude, such as misdemeanor petty theft, burglary, fraud, writing bad checks, and other related crimes within the last five (5) years? * Yes: _______ No: _______
If yes, please explain: ___________________________________________________________
_____________________________________________________________________________

Do you have other special training or skills (additional spoken or written languages, computer software knowledge, machine operation experience, etc.)?
_____________________________________________________________________________

_____________________________________________________________________________

*Conviction of a crime, or pleading guilty to a criminal charge, will not necessarily disqualify you from the job for which you are applying. Each conviction or plea will be considered with respect to time, job relatedness, and other relevant factors.

 

Availability

Days Available
Sun. ____ Mon. ____ Tues. ____ Wed. ____ Th. ____ Fri. ____ Sat. ____
Total Hours Available: _______ Hours Available: from _______ to ______

 

Education

High School: __________________________________ City: ______________ State: _______
Course of Study: ___________________________________ # of Years Completed: _______
Did You Graduate? Yes: _______ No: _______

 

Employment History

Please give accurate and complete full-time employment record. Start with present or most recent employer. Include military experience if applicable.

Position #1
Company Name: _________________________ City: _____________________ State: _______
Company Phone Number: ________________Job Title: ________________________________
Name of Supervisor: ____________________________
Employed (Month and Year) From: _______ To: _______Weekly / Hourly Pay: _______

Describe your work: ____________________________________________________________
_____________________________________________________________________________

May we contact this employer? Yes: _______ No: _______
If not, why not? ________________________________________________________________
Reason for leaving: _____________________________________________________________

 

 

 

 

 

 

 

 

 

 

 

Position #2
Company Name: _________________________ City: _____________________ State: _______
Company Phone Number: ________________Job Title: ________________________________
Name of Supervisor: ____________________________
Employed (Month and Year) From: _______ To: _______Weekly / Hourly Pay: _______
Describe your work: ____________________________________________________________
_____________________________________________________________________________

May we contact this employer? Yes: _______ No: _______
If not, why not? ________________________________________________________________
Reason for leaving: _____________________________________________________________

Position #3
Company Name: _________________________ City: _____________________ State: _______
Company Phone Number: ________________Job Title: ________________________________
Name of Supervisor: ____________________________
Employed (Month and Year) From: _______ To: _______Weekly / Hourly Pay: _______
Describe your work: ____________________________________________________________
_____________________________________________________________________________

May we contact this employer? Yes: _______ No: _______
If not, why not? ________________________________________________________________
Reason for leaving: _ ____________________________________________________________

 

Conditions of Employment

Lakeside Tan sets high standards for its employees, and compliance with these standards is a condition of employment. If you are offered a position with Lakeside Tan, you need to carefully consider what we would require of you before you accept. As an employee, you must do everything you can to make our external and internal customers feel like customers, including:

In return Lakeside Tan will offer a friendly and flexible work environment.  But most of all Lakeside Tan will ensure that your experience working with our group is both a fun and rewarding experience. Thank you for your interest in working for Lakeside Tan.

 

Are you willing and able to comply with all the requirements listed? Yes: _______ No: _______
If your answer is no, or if you have concerns about being able to comply with any of these requirements, please explain:
______________________________________________________________________________
______________________________________________________________________________