Employment Application

Todays Date

Name *

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

How many hours are you interested in working? *

What date can you start? *//

When would you be available to work? *

Mornings
Days
Evenings
Weekends

Select all that apply

How would you be getting to and from All Fired Up?

If hired at ALL FIRED UP, can you furnish proof that you are eligible to work in the US? * *

If no, please explain:

Have you ever been convicted of a crime? *

If yes, please explain:

Have you ever painted at a pottery studio? *

If yes, please describe your experience:

Why would you like to work for ALL FIRED UP? *

What unique qualifications, skills, experience or interests do you bring to ALL FIRED UP? *

Describe a situation when you received or provided excellent customer service: *

Employment History

Start with your most recent position.

Employer *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Supervisor's Name *

Employment start date *//

Employment end date//

Describe the work you did (include skills you could use at ALL FIRED UP) *

Your reason for leaving? *

May we contact this employer? *

If no, please explain why:

Employer #2

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Supervisor's Name

Employment start date

Employment end date

Describe the work you did (include skills you could use at ALL FIRED UP)

Your reason for leaving?

May we contact this employer?

If no, please explain why:

References

Please list professional references. *

Employment History

References

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