Job Application

Applicant Information:

Applicant Name:

Address:

City, State, and Zip Code:

Telephone Number:

Email Address:

Employment Position:

Position(s) applying for:
Production
Graphic Design
Office & Customer Service Support
Sales

How did you hear about this position?

What days are you available to work?

What hours or shift are you available for work?

On what date can you start working if you are hired?

Do you have reliable transportation to and from work?

Personal Information:

Have you ever applied to work for Gone Logo before?
Yes No

If yes, when?

Are you 18 years of age or older?
Yes No

Are you a U.S. citizen or approved to work in the United States?
Yes No

What documents can you provide as proof of citizenship or legal status?

Do you have any condition which would require job accommodations?
Yes No

If yes, please describe accommodations required:

Have you ever been convicted of a criminal offense (felony or misdemeanor)?
Yes No

If yes, please state the nature of the crime(s), when and where convicted and disposition of the case:

Job Skills/Qualifications:

Please list below the skills and qualifications you possess for the position for which you are applying:

(Note: Gone Logo complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions.)

Education and Training:

High School Name:

High School Location (City, State):

High School Year Graduated:

High School Degree Earned:

College/University Name:

College/University Location (City, State):

College/University Year Graduated:

College/University Degree Earned:

Vocational School/Specialized Training Name:

Vocational School/Specialized Training Location (City, State):

Vocational School/Specialized Training Year Graduated:

Vocational School/Specialized Training Degree Earned:

Military:

Are you a member of the Armed Services?

What branch of the military did you enlist?

What was your military rank when discharged?

How many years did you serve in the military?

What military skills do you possess that would be an asset for this position?

Previous Employment:

Employer Name:

Job Title:

Supervisor Name:

Employer Address:

City, State, and Zip Code:

Employer Telephone:

Dates Employed:

Reason for Leaving:

Employer Name:

Job Title:

Supervisor Name:

Employer Address:

City, State, and Zip Code:

Employer Telephone:

Dates Employed:

Reason for Leaving:

Employer Name:

Job Title:

Supervisor Name:

Employer Address:

City, State, and Zip Code:

Employer Telephone:

Dates Employed:

Reason for Leaving:

References:

Please provide 2 personal and professional references below:

Reference:

Contact Info:

Reference:

Contact Info:

AT-WILL EMPLOYMENT:

The relationship between you and Gone Logo is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or Gone Logo. No representative of Gone Logo has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will," and that you acknowledge that no oral or written statements or represenations regarding your employment can alter your at-will employment status, except for a written statement signed by you and either our Executive Vice President/Chief Operations Officer or the Company President.

Signed:

Dated: