employment APPLICATION
 We consider applicants for all positions on the basis of qualifications and without regard to race, color, religion sex, national origin, age, marital status, veteran status, disability, sexual orientation, use of lawful products during non-work hours and any other legally protected status.

Position(s) Applied For:

Date of Application:

Last Name:

First Name:

Middle Initial:

Address:

City:

State:

Zip:

 

Home phone #:

Cell phone #:

How Did You Learn About the Company:
  website     Advertisement     Friend     Walk-in     Current employee

Are you available for work?:
  Yes     No

Type of work desired?:
  Regular Full Time     Regular Part Time

If you are less than 18 years of age, can you provide required proof of your eligibility to work?:
  Yes     No

Have you ever applied with Lasting Image before?: (if yes, give date)
  Yes     No    

Are you currently employed?:
  Yes     No

Have you even been employed by Lasting Image before?: (if yes, give date)
  Yes     No    

May we contact your current employer for reference?:
  Yes     No

Are you legally qualified to work in the United States?:
  Yes     No

Desired start date:

 

EDUCATION:

Elementary School:

High School

Technical School:

College:

Other

School Name:

Years Completed:

45678

910
 1112

12
 34

12
 34

12
 34

Diploma / Degree

 

Yes No

Yes No

Yes No

 

Please summarize skills and training not listed above:

Describe any honors or awards you have received:

List any professional, trade, business or civil activities and offices held: You may exclude memberships which may reveal sex, race, religion, national origin, age, disability or other protected status:

EMPLOYMENT EXPERIENCE
Start with your present or most recent position:

1. Employer

Dates Employed

Work Performed

Address:

From:

Telephone #:

To:

Job Title:

Base Pay:

Supervisor:

Start:

Final:

Reason for Leaving:

 

2. Employer

Dates Employed

Work Performed

Address:

From:
  

Telephone #:

To:
  

Job Title:

Base Pay:

Supervisor:

Start:

Final:

Reason for Leaving:

 

3. Employer

Dates Employed

Work Performed

Address:

From:
  

Telephone #:

To:
  

Job Title:

Base Pay:

Supervisor:

Start:

Final:

Reason for Leaving:

PROMOTIONAL EXPERIENCE
 Please fill out if you have had any experience in or as a sales person in the promotional industry

How long have you been in the industry?

Are you a...?
  MAS    CAS    Not sure

What is your total sales volume?

What is your average sales margin?

What is your average sales margin?

What are your top 5 accounts sales volumes? (you do not need to disclose the accounts)

Do you have experience selling programs? (for example, service awards, stores, safety programs?)
  Yes    No    Some

What are your top 10 suppliers that you like to use?

Have you or do you like to attend industry shows?
  Yes    No

Do you keep ahead of the game in terms of education and knowledge of products?
  Yes    No

SPECIAL SKILLS AND QUALIFICATIONS
Summarize special job related skills and qualifications from employment or other experiences:

Have you ever had any job related training in the US Military?: (if yes, give date)
  Yes     No         

Are you able to perform the essential requirements of the job?:
  Yes    No

Are there any reasonable accommodations that should be made to allow you to perform the essential functions of the job?

Is there any type of work you do not want to perform, can not perform or refuse to perform?

State any additional information you feel may be helpful to us in considering your application?

REFERENCES
please provide us with three business references who are not related to you:

Name:

Address:

Phone #:

 

I certify that the answers given herein are true and complete to the best of my knowledge. I also authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an “at will” nature, which means that the employee may resign at anytime and the Employer may discharge Employee at any time with or without cause. It is further understood that this “at will” employment relationship may not be changed by written documentation or conduct unless an authorized executive of this organization specifically acknowledges such change in writing.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, that I am required to abide by all rules and regulations of Employer.

Applicant Signature: (type your name)

Date: