Lake Chelan Trading Company Application

Last Name *

First Name *

M.I.

Date *

Street Address *

Apartment/Unit #

City *

State *

Zip Code *

Phone Number *

Email Address

Desired Salary

What position are you applying for and why? *

Are you authorized to work in the US? *

YES

NO

Have you ever worked for this company? *

YES

NO

If Yes, When?

Have you ever been convicted of a felony?

YES

NO

If yes, please explain:

Please fill out your schedule availability below *

Explain availability further if needed

High School *

Address

From *

To *

Did You Graduate? *

YES

NO

College

Address

From

To

Did You Graduate?

YES

NO

Degree

Other Education

Address

From

To

Did You Graduate?

YES

NO

Degree

Professional Reference 1 *

Relationship *

Company *

Phone Number *

Address

Professional Reference 2 *

Relationship *

Company *

Phone Number *

Address

Professional Reference 3 *

Relationship *

Company *

Phone Number *

Address

–> Previous Employment 1 *

Phone Number *

Address

Supervisor *

Job Title *

From *

To *

Starting Salary

Ending Salary

Responsibilities *

Reason For Leaving *

May we contact your supervisor for a reference? *

YES

NO

–> Previous Employment 2

Phone Number

Address

Supervisor

Job Title

From

To

Starting Salary

Ending Salary

Responsibilities

Reason For Leaving

May we contact your supervisor for a reference?

YES

NO

–> Previous Employment 3

Phone Number

Address

Supervisor

Job Title

From

To

Starting Salary

Ending Salary

Responsibilities

Reason For Leaving

May we contact your supervisor for a reference?

YES

NO

What would your most recent supervisor say about you? *

Describe yourself in 5 words: *

What about our company is most exciting to you? *

Is there anything else you would like us to know?

PLEASE INDICATE THAT YOU UNDERSTAND THE FOLLOWING: I certify that the answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my termination. I understand that, if hired, I may be subject to random drug testing throughout my employment. I authorize and consent to my current and prior employers, educational institution, and persons or organizations named in this application to release my information to this employer that may be required to make an employment decision. My employment is not guaranteed for any term, and my employment may be terminated by the employer or myself at any time and for any reason. No management official is authorized to make any oral assurance or promise of continued employment. *

I Understand

I Do Not Understand

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Phone

Website/URL