Sip&Gogh Job Application - by invitation only We are glad that you’re interested in working with us! Please fill out the following form and we will be back with you soon! Name * First Name Last Name Email * Phone * (###) ### #### Address * Please use your legal residential address Address 1 Address 2 City State/Province Zip/Postal Code Country Message * How did you hear about this position? * What days are you available for work? * What hours or shift are you available for work? * On what date can you start working if you are hired? * MM DD YYYY Do you have reliable transportation to and from work? * Yes No Are you 18 years or older? * Yes No Are you a U.S. citizen or approved to work in the United States? * Yes No What document can you provide as proof of citizenship or legal status? * Do you have any condition which would require job accommodations? If yes, please describe accommodations required below. * Have you ever been convicted of a criminal offense (felony or misdemeanor)? If yes, please state the nature of the crime(s), when and where convicted and disposition of the case: * The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.) Please list below the skills and qualifications you possess for the position for which you are applying: * (Note: Michael's Masterpieces, LLC DBA Sip&Gogh Studio complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. ) Education and Training * Please High School name, location, achievements and degree earned. Secondary Education and Training * Please list college, university and/ or vocational school name, location and degree earned. Checkbox * Yes No If you answered yes above: What branch of the military did you enlist? How many years did you serve in the military? What military skills do you possess that would be an asset for this position? Previous Employment * Please list: Employer Name: Job Title: Supervisor Name: Employer Address: City, State and Zip Code: Employer Telephone: Dates Employed: Reason for leaving: Previous Employment * Please list: Employer Name: Job Title: Supervisor Name: Employer Address: City, State and Zip Code: Employer Telephone: Dates Employed: Reason for leaving: Previous Employment * Please list: Employer Name: Job Title: Supervisor Name: Employer Address: City, State and Zip Code: Employer Telephone: Dates Employed: Reason for leaving: References * Please provide 3 personal and professional reference(s) below: Name, phone number, relationship AT-WILL EMPLOYMENT The relationship between you and the Michael's Masterpieces, LLC DBA Sip&Gogh Studio is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or the Michael's Masterpieces, LLC DBA Sip&Gogh Studio. No representative of Michael's Masterpieces, LLC DBA Sip&Gogh Studio has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will," and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and either our Executive Vice-President/Chief Operations Officer or the Company's President. * I understand and agree. No, I do not understand and do not agree. Thank you!
