Employment Application
Squatch Man LLC DBA Flip Flop Shops
APPLICANT INFORMATION
Last Name Street Address City Phone Date Available Position Applied for State E-mail Address Social Security No. Desired Salary First M.I. Date
Please ll out the form below and send to: jlewis@ ip opshops.com
Apartment/Unit # ZIP
Flip Flop Fanatic - Sales Team
YES YES YES NO NO NO If no, are you authorized to work in the U.S.? If so, when? If yes, explain YES NO
Are you a citizen of the United States? Have you ever worked for this company? Have you ever been convicted of a felony?
EDUCATION
High School From College From Other From To Did you graduate? To Did you graduate? To Did you graduate? Address YES Address YES Address YES NO Degree NO Degree NO Degree
REFERENCES
Please list any professional references.
Full Name Company Address Full Name Company Address Full Name Company Address Relationship Phone Relationship Phone Relationship Phone
PREVIOUS EMPLOYMENT
Company Address Job Title Responsibilities From To Reason for Leaving YES NO Phone Supervisor Starting Salary $ Ending Salary $ Starting Salary Phone Supervisor $ Ending Salary $
May we contact your previous supervisor for a reference? Company Address Job Title Responsibilities From To Reason for Leaving
May we contact your previous supervisor for a reference? Company Address Job Title Responsibilities From To Reason for Leaving
YES
NO Phone Supervisor
Starting Salary
$
Ending Salary
$
May we contact your previous supervisor for a reference?
YES
NO
MILITARY SERVICE
Branch Rank at Discharge If other than honorable, explain From To
Type of Discharge
DISCLAIMER AND SIGNATURE
I certify that my 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 release. Signature Date