[JOB CENTER] Job Application (Public)
Equal Opportunity Employer

Premium eJuice USA, LLC is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Should an applicant need reasonable accommodation in the application process, he or she should contact a company representative.

Applicant Information

Full Legal Name
Street Address
Apartment or Unit Number
xxx-xxx-xxxx

Availability

Date You Can Start if Hired

Personal Information

Previous Employment

LIST UP TO THREE PREVIOUS EMPLOYERS, STARTING WITH THE MOST CURRENT EMPLOYER FIRST
Previous Employer
Company or Business Name
Previous Employers Direct Business Number xxx-xxx-xxxx
If Supervisor is No Longer With Your Previous Employer, Leave Blank
Street Address
Unit or Suite Number
When Did You Start Working This Job
When Did You Leave This Job
Previous Employer
Company or Business Name
Previous Employers Direct Business Number xxx-xxx-xxxx
If Supervisor is No Longer With Your Previous Employer, Leave Blank
Street Address
Unit or Suite Number
When Did You Start Working This Job
When Did You Leave This Job
Previous Employer
Company or Business Name
Previous Employers Direct Business Number xxx-xxx-xxxx
If Supervisor is No Longer With Your Previous Employer, Leave Blank
Street Address
Unit or Suite Number
When Did You Start Working This Job
When Did You Leave This Job

References

PROVIDE UP TO THREE REFERENCES. PEOPLE WHO CAN TELL US HOW AWESOME YOU ARE, AND YOUR MOTHER DOES NOT COUNT!
xxx-xxx-xxxx
xxx-xxx-xxxx
xxx-xxx-xxxx

Resume

Drop a file here or click to upload Choose File
Maximum upload size: 209.72MB
Format: .PDF (Adobe Acrobat) or .DOC (Microsoft Word)

Additional Information

THE INFORMATION BELOW IS NOT REQUIRED, BUT HELPFUL!

System Data

NOTHING TO SEE HERE! JUST SOME STUFF FOR OUR NERDS!