Shop Assistant – Burbank Job Application

FILL OUT APPLICATION COMPLETELY. Attaching a Resume is not enough, please complete all relevant fields of the application in order to be considered.

Personal Details

First Name *
Initial
Last Name *
Street Address *
City *
State *
Zip code *

Primary Phone
Secondary Phone

Desired Wage *
Per Hour Per Year
Are you willing to work overtime? *
Yes No
Can you work holidays and weekends?
Yes No
Please exclude any scheduling matters that relate to religion or disability in the scheduling questions above.

Education

High School Name
City
State
Did you graduate?
Yes No

College Name
City
State
Did you Graduate?
Yes No
Degree / Major

Other School Name
City
State
Did you graduate?
Yes No
Degree / Major

Work Experience

Please list information about your previous three jobs.

Employer Name
Type of Business
City
State
Phone Number
From
Until
Job Title
Supervisor Name
May we contact?
Yes No
If No, why not?
Duties
Reason for leaving?
What will the employer say was the reason for your termination?

Work Experience Job 2

Employer Name
Type of Business
City
State
Phone Number
From
Until
Job Title
Supervisor Name
May we contact?
Yes No
If No, why not?
Duties
Reason for Leaving
What will the employer say was the reason for your termination?

Work Experience Job 3

Employer Name
Type of Business
City
State
Phone Number
From
Until
Job Title
Supervisor Name
May we contact?
Yes No
If No, why not?
Duties
Reason for leaving?
What will the employer say was the reason for your termination?

Additional Information

Upload Your Resume
Additional Skills
How did you hear about this job?

Terms and Conditions


Application Certification

We are an equal opportunity employer. Applicants are considered for positions without regard to race, religion, sex, national origin, age, disability, or any other consideration made unlawful by federal, state, or local laws.

I understand and agree that if driving is a requirement of the job for which I am applying, my employment and/or continued employment is contingent on possessing a valid driver’s license and automobile liability insurance in an amount equal to the minimum required by the state where I reside.

I understand that the Company may now have, or may establish, a drug-free workplace or drug and/or alcohol testing program. I understand that if a pre-employment (post-offer) drug and/or alcohol test is positive, the employment offer may be withdrawn. I agree to work under the conditions requiring a drug-free workplace, consistent with applicable federal, state, and local law. I also understand that all employees of the Company, pursuant to the Company’s policy and federal, state, and local law, my be subject to urinalysis and/or blood screening or other medically recognized tests designed to detect the presence of alcohol or controlled drugs. If employed, I understand that the taking of alcohol and/or drug test is a condition of continual employment and I agree to undergo alcohol and drug testing consistent with the Company’s policies and applicable federal, state, and local law.

If employed by the Company, I understand and agree that the Company, to the extent permitted by federal, state and local law, may exercise its right, without prior warning or notice, to conduct investigations of property (including, but not limited to, files, lockers, desks, vehicles, and computers) and, in certain circumstances, my personal property.

I understand and agree as a condition of employment and to the extent permitted by federal, state, and local law, I may be required to sign a confidentiality, non-compete, and/or conflict of interest statement.

I certify that all the information on this application, my resume, or any supporting documents I may present during any interview is and will be complete and accurate to the best of my knowledge. I understand that any falsification, misrepresentation, or omission of any information may result in disqualification from consideration for employment or, if employed, disciplinary action, up to and including immediate dismissal.

I UNDERSTAND THAT NEITHER THIS APPLICATION NOR ANY COMMUNICATION BY A MANAGEMENT REPRESENTATIVE IS INTENDED TO CREATE OR DOES NOT CREATE A CONTRACT OF EMPLOYMENT, OFFER, OR PROMISE OF EMPLOYMENT FOR A DEFINITE TERM. I ACKNOWLEDGE THAT IF HIRED BY THE COMPANY, EMPLOYMENT IS ON AN AT-WILL BASIS IN ACCORDANCE WITH STATE LAW. THIS MEANS THE COMPANY IS FREE TO TERMINATE MY EMPLOYMENT AT ANY TIME, WITH OR WITHOUT CAUSE OR ADVANCE NOTICE, IN ACCORDANCE WITH STATE LAW, AND ACCEPTANCE OF EMPLOYMENT IS NOT A CONTRACT OF EMPLOYMENT FOR ANY SPECIFIED TIME. SIMILARLY, I AM FREE TO TERMINATE MY EMPLOYMENT WITH THE COMPANY AT ANY TIME FOR ANY REASON. THIS AT-WILL PROVISION MAY BE MODIFIED OR WAIVED ONLY IN A WRITTEN AGREEMENT SIGNED BY AN AUTHORIZED REPRESENTATIVE OF THE COMPANY AND ME. I AGREE TO CONFORM TO THE RULES AND REGULATIONS OF THE COMPANY, AND I UNDERSTAND THAT THE COMPANY HAS COMPLETE DISCETION TO MODIFY SUCH RULES AND REGULATIONS AT ANY TIME, EXCEPT THAT IT WILL NOT MODIFY ITS POLICY OF EMPLOYMENT AT-WILL OR ITS ARBITRATION POLICY, IF ANY.

I authorize the Company or its agents to confirm all statements contained in this application and/or resume as it relates to the position I am seeking and to the extent permitted by the federal, state, or local law. I agree to complete any requisite authorization forms for the background investigation.

I authorize and consent to, without reservation, any party or agency contacted by this employee to furnish the above-mentioned information. I hereby release, discharge, and hold harmless, to the extent permitted by federal, state, and local law, any party delivering information to the Company or its duly authorized representative pursuant to this authorization from any liability, claims, charges, or causes of action which I may have as a result of the delivery or disclosure of the above requested information. I hereby release from liability the Company and its representative for seeking such information and all other persons, corporations, or organizations furnishing such information.

If hired by the company, I understand that I will be required to provide genuine documentation establishing my identity and eligibility to be legally employed in the United States by the Company. I also understand the Company employs only individuals who are legally eligible to work in the United States.

I CERTIFY THAT ALL OF THE INFORMATION I HAVE PROVIDED ON THIS APPLICATION IS TRUE, ACCURATE, AND COMPLETE.
* I certify that I have read, understand and agree to the Terms and Conditions