Application for Employment

Personal Information

Name
Contact
Address
Background

Are you authorized to work in the U.S.?

Are you 17 or younger?

Have you been convicted of a felony or been incarcerated in connection with a felony in the past seven years?

Are you currently on probation?

If so, when will your probation be over?

Military Service?

If so, which branch?

You may be required to lift 25-60 lbs repeatedly and work around perfumes and light fumes. Do you have any physical limitations or allergies that would prevent you from doing this job?

Employment

Have you ever applied with this company before?

Have you ever been employed by Natural Essentials Inc.?

Prior work experience

Employer 1

Current (or most recent)

May we contact?

Address
Position held
Immediate supervisor
Dates of employment

Employer 2

Previous employer

May we contact?

Address
Position held
Immediate supervisor
Dates of employment

Employer 3

Previous employer

May we contact?

Address
Position held
Immediate supervisor
Dates of employment

Education

High school
College or university
Trade school
Other
Additional skills

Personal References

Reference 1
Reference 2
Reference 3

Disclaimer - By submitting this form, I hereby certify that the above information, to the best of my knowledge, is correct. I understand that falsification of this information may prevent me from being hired or lead to my dismissal if hired. I also provide consent for former employers to be contacted regarding work records.