Application for Employment

Crackpots
505 Main Street, Longmont, CO 80501

Interested in joining the Crackpots team? We are always taking applications from bright and friendly folks, but please understand that we're not always hiring. Rest assured that we will review your application, but will only contact you if we are in the process of hiring.

We hold on to application for several months and will contact you IF we are…

Personal Information:

E-mail

First name

Last name

Phone

.

Present Address (Please include full address.)

Phone Number:

Employment Desired:

Date Your Can Start:

Availability: (Days & Hours Desired)

Desired Salary:

Are You Employed Now?

Yes No

If yes, may we inquire of your current employer? (optional)

Are You Legally Authorized to Work in the U.S.?

Yes No

Education History:

High School: (Name & Location? # years complete? Favorite subject?)

College, Trade, Business, or other Schooling: (Name & Location? # Years Attended? Subject Studied?) (optional)

Former Employers:

List last two employers, starting with the most recent one first.

Employer #1

Name & Location of Employer

Dates of Employment (Month & Year, Start & Finish): (optional)

Position: (optional)

Reason for Leaving: (optional)

Employer #2

Name & Location of Employer (optional)

Dates of Employment (Month & Year, Start & Finish): (optional)

Position: (optional)

Reason for Leaving: (optional)

References:

Provide the names and contact information of 2 persons not related to you, with whom you have worked in a professional, volunteer, or educational setting, and who have known you at least one year.

Reference #1

Name of Reference #1

Contact Information for Reference #1

How do you know Reference #1?

Reference #2

Name of Reference #2

Contact Information for Reference #2

How do you know Reference #2?

General Information:

Special Training/Skills You Think We Should Know About: (optional)

Hobbies/Interests? (optional)

Why do you want to work at Crackpots?

Authorization:

“I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements in this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative. This waiver does not permit the release of use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws."

Check here to agree to the terms of this application.

Order Total: $0.00