Employment Application

Thank you for expressing interest in joining our team. Please fill out the application below or download our employment application pdf HERE and email it to manager@ladydahlia.com.

All applicants are considered for all positions without regard to race, religion, color, sex, gender, sexual orientation, pregnancy, age, national origin, ancestry, physical/mental disability, medical condition, military/veteran status, genetic information, marital status, ethnicity, citizenship or immigration status or any other protected classification, in accordance with applicable federal, state, and local laws. By completing this application, you are seeking to join a team of hardworking professionals dedicated to consistently delivering outstanding service to our customers and contributing to the financial success of the organization, its clients, and its employees. Equal access to programs, services, and employment is available to all qualified persons. Those applicants requiring accommodation to complete the application and/or interview process should contact a management representative. Please print

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Personal Information

Name(Required)

First Middle Last

Email(Required)

Phone(Required)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

General Information

Have you ever worked for this company before?(Required)

Yes

Do you have friends and/or relatives working for this company?(Required)

Yes

If hired, would you have a reliable means of transportation to and from work?(Required)

Yes

Are you at least 19 years old?(Required)

Yes

Are you able to perform the essential job functions of the job for which you are applying with or without reasonable accommodation?(Required)

Yes

We comply with the ADA and consider reasonable accommodation measures that may be necessary for qualified applicants/employees to perform essential job functions.

Position and Availability

POSITION APPLING FOR(Required)

DATE OF APPLICATION(Required)

WHAT IS YOUR AVAILABILITY?(Required)

Full-Time

Part-Time

Seasonal

WHAT DAYS CAN YOU WORK?(Required)

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

DESIRED WAGE / SALARY?(Required)

DESIRED HOURS PER WEEK?(Required)

WHEN CAN YOU START?(Required)

LAST DAY (SEASONAL ONLY)

Please explain any other schedule related information (Optional):

DESIRED HOURS PER WEEK?(Required)

Employment Experience

Please list the names of your present or previous employers in chronological order with present or most recent employer listed first. Be sure to account for all periods of time. If self-employed, give firm name and supply business references.

Upload Resume

Drop files here or

Accepted file types: jpg, png, pdf, Max. file size: 5 MB, Max. files: 3.

Employer 1

EMPLOYER NAME

JOB TITLE

SUPERVISOR

Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Start Date

End Date

Duties

REASON FOR LEAVING

May we contact this previous employer?

Yes

Employer 2

EMPLOYER NAME

JOB TITLE

SUPERVISOR

Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Start Date

End Date

Duties

REASON FOR LEAVING

May we contact this previous employer?

Yes

Employer 3

EMPLOYER NAME

JOB TITLE

SUPERVISOR

Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Start Date

End Date

Duties

REASON FOR LEAVING

May we contact this previous employer?

Yes

ADDITIONAL QUESTIONS

Have you ever been involuntarily terminated or asked to resign from any job? If yes, please explain:

Yes

Explain

Do you have any recent gaps in your employment history? If yes, please explain:

Yes

Explain

Additional Experience

Please list any other experience, job related skills, additional languages, or other qualifications that you believe should be considered in evaluating your qualifications for employment.

Education

Please describe your educational background in the table provided below.

High School

SCHOOL NAME

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

DIPLOMA OR DEGREE EARNED

GRADUATION YEAR (If Graduated)

COLLEGE / UNIVERSITY

SCHOOL NAME

AREA OF STUDY / MAJOR

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

GRADUATION YEAR (If Graduated)

DIPLOMA OR DEGREE EARNED

ADDITIONAL TRAINING / SCHOOL

List any additional specialized training or Schools

REFERENCES

REFERENCE 1

Name

First Last

Phone

Describe Relationship

REFERENCE 2

Name

First Last

Phone

Describe Relationship

REFERENCE 3

Name

First Last

Phone

Describe Relationship

AGREE TO TERMS

CHECKING EACH BOX CONFIRMS YOUR ACKNOWLEDGEMENT AND ACCEPTANCE OF THE FOLLOWING TERMS:(Required)

I hereby authorize the Company to thoroughly investigate my references, work record, education and other matters related to my suitability for employment and, further, authorize the prior employers and references I have listed to disclose to the Company any and all letters, reports and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release the Company, my former employers and all other persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure.

In the event of my employment with the Company, I understand that I am required to comply with all rules and regulations of the Company.

If hired, I understand and agree that my employment with the Company is at-will, and that neither I, nor the Company is required to continue the employment relationship for any specific term. I further understand that the Company or I may terminate the employment relationship at any time, with or without cause, and with or without notice. I understand that the at-will status of my employment cannot be amended, modified, or altered in any way by any oral modifications.

I understand that safety of employees is extremely important to the Company and that the Company is committed to ensuring a safe working environment. I understand that I, and every employee, have a responsibility to prevent accidents and injuries by observing all safety procedures and guidelines and following the directions of my site supervisor. I understand and agree to comply with federal, state, and local regulations related to on-the-job safety and health.

I hereby certify that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.

I understand that if I am selected for hire, it will be necessary for me to provide satisfactory evidence of my identity and legal authority to work in the United States, and that federal immigration laws require me to complete an I-9 Form in this regard.

I understand that if any term, provision, or portion of this Agreement is declared void or unenforceable, it shall be severed and the remainder of this Agreement shall be enforceable.

I attest to the fact that I have read, understand, and agree to all of the above terms. I certify that all of the information provided within this application is true and complete to the best of my knowledge. I understand that any false statements or omissions may result in disqualification from employment or termination if already employed. I also understand that I agree to have a background check performed if offered employment.

I agree

No Robots, Please

Employment Application

Start Form

Personal Information

General Information

Position and Availability

Employment Experience

Employer 1

Employer 2

Employer 3

ADDITIONAL QUESTIONS

Education

High School

COLLEGE / UNIVERSITY

ADDITIONAL TRAINING / SCHOOL

REFERENCES

REFERENCE 1

REFERENCE 2

REFERENCE 3

AGREE TO TERMS

Address

Connect

Hours

Email Club

Events & Specials

03.