Job Application

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

Applicant Name *

Full Legal Name

Address *

Street Address

Address Line 2

Apartment or Unit Number

City *

State *

Zip *

Phone Number *

xxx-xxx-xxxx

Email Address *

Previous Employment

LIST UP TO THREE PREVIOUS EMPLOYERS, STARTING WITH THE MOST CURRENT EMPLOYER FIRST

Previous Employer

Previous Employer Name

Company or Business Name

Previous Job Title

Employer Phone Number

Previous Employers Direct Business Number xxx-xxx-xxxx

Supervisor Name

If Supervisor is No Longer With Your Previous Employer, Leave Blank

Employer Address

Street Address

Employer Address Line 2

Unit or Suite Number

City

State

Zip

Start Date of Employment

When Did You Start Working This Job

End Of Employment Date

When Did You Leave This Job

Still Work Here

Currently Employed Here

Reason For Leaving

Can We Contact Your Current or Previous Employer For A Reference

Yes

Add Another Previous Employer Remove Previous Employer

Previous Employer

Previous Employer Name

Company or Business Name

Previous Job Title

Employer Phone Number

Previous Employers Direct Business Number xxx-xxx-xxxx

Supervisor Name

If Supervisor is No Longer With Your Previous Employer, Leave Blank

Employer Address

Street Address

Employer Address Line 2

Unit or Suite Number

City

State

Zip

Start Date of Employment

When Did You Start Working This Job

End Of Employment Date

When Did You Leave This Job

Still Work Here

Currently Employed Here

Reason For Leaving

Can We Contact Your Current or Previous Employer For A Reference

Yes

Add Another Previous Employer Remove Previous Employer

Previous Employer

Previous Employer Name

Company or Business Name

Previous Job Title

Employer Phone Number

Previous Employers Direct Business Number xxx-xxx-xxxx

Supervisor Name

If Supervisor is No Longer With Your Previous Employer, Leave Blank

Employer Address

Street Address

Employer Address Line 2

Unit or Suite Number

City

State

Zip

Start Date of Employment

When Did You Start Working This Job

End Of Employment Date

When Did You Leave This Job

Still Work Here

Currently Employed Here

Reason For Leaving

Can We Contact Your Current or Previous Employer For A Reference

Yes

Add Another Previous Employer Remove Previous Employer

References

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

Reference Type

Reference Name

Reference Phone Number

xxx-xxx-xxxx

Add Another Reference Remove Reference

Reference Type

Reference Name

Reference Phone Number

xxx-xxx-xxxx

Add Another Reference Remove Reference

Reference Type

Reference Name

Reference Phone Number

xxx-xxx-xxxx

Add Another Reference Remove Reference

Resume

Upload Resume

Maximum upload size: 67.11MB

Format: .PDF (Adobe Acrobat) or .DOC (Microsoft Word)

Additional Information

THE INFORMATION BELOW IS NOT REQUIRED, BUT HELPFUL!

How Did You Hear About This Position

Have You EVER worked in a Vapor Store

Yes

Anyting You Want To Add

System Data

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

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Applicant Information

Availability

Personal Information

Previous Employment

References

Resume

Additional Information

System Data

Job Application

Applicant Information

Availability

Personal Information

Previous Employment

References

Resume

Additional Information

System Data

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