Employment Application

Please complete all required fields!

Are you over 18? *

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U.S. Citizen? *

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Full Name *

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Address *

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Phone *

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City *

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Cell *

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State *

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e-Mail *

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Zip *

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Why do you feel you would be an asset to Pottery 2 Paint? *

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How were you referred to Pottery 2 Paint?

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Education

High School Year Completed *

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College Years Completed

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High School Name

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College Name

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Degree / Diploma

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Tech. Training

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Employment History

(begin with most recent position)

From *

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To *

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May we contact this employer? *

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Company Name *

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Phone *

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Supervisor *

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Address *

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Position(s) held *

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City *

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Title *

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State *

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Responsibilities *

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Zip *

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Reason for Leaving *

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Tell us about this jobs duties. *

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What did you like about this job? *

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What did you not like about this job? *

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Job 2

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From

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To

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May we contact this employer?

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Company Name

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Phone

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Supervisor

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Address

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Position(s) held

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City

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Title

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Responsibilities

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Zip

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Reason for Leaving

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Tell us about this jobs duties.

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What did you like about this job?

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What did you not like about this job?

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Job 3

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From

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To

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May we contact this employer?

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Company Name

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Supervisor

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Address

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Position(s) held

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Responsibilities

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What did you like about this job?

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References

Please list three professional references.

Name *

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Name *

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Name *

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Company *

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Company *

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Company *

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Relationship *

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Relationship *

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Relationship *

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Phone *

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Phone *

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Phone *

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Describe your best qualities and job skills *

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Work Availability

If your application receives favorable consideration, when will you be available to begin work? *

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Do you have an objection to working overtime? *

YesNo Invalid Input

Can you work on Saturday? *

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Can you work overtime without prior notice? *

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Can you work on Sunday? *

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Salary / Hourly Rate Requirements

What hourly rate would you require? *

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What yearly salary would you require? *

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Technology

Are you using Facebook, Twitter or any other social platform? *

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Explain in detail your computer, internet and mobile device knowledge. *

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*

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