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3300 W 65th Street
Little Rock, AR 72209
501-663-9595


Open Positions
Screen Printing Team Member
Licensing Coordinator
Collegiate Inside Sales Manager

Applicant Information

Please complete the following questions. This information may be verified and will be your information to apply for a future position. If, for some reason, you are not able to complete this application right now, you can log back in at any time to complete the process. If you would like to be able to log back in at a later date, Please create an account using the Dashboard at the top of this page.
First Name:
Middle Initial:
Last Name:
Primary Phone:
Secondary Phone:
Email:
Current Address:
Street:
Apt/Suite #:
City:
State:
Zip:
How were you referred to the company?    
Are you at least 18 years of age?     Yes      No
Are you legally eligible for employment in the US?     Yes      No
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Employment Positions

What Position are you applying for?    
Are you applying for    
What Shifts are you available to work?
Weekdays
Comments:
Weekends
When will you be able to start?    Start Date:
If you have a set date, when will your last day be?    End Date:
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Personal Information


Do you have any friends, relatives, or acquaintances working for the company?       Yes
Name:    
Relationshop:    
Are you willing to submit to a controlled substance test if hired?       Yes
Have you ever been convicted of a criminal offense (felony or misdemeanor)?       Yes
Please describe the Crime - State Nature of the crime(s), when and where convicted and disposition of the case.
Crime Discription:
(Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.)
Do you have any other experience, training, qualifications, or skills which you feel should be brought to our attention, in the case that they make you especially suited for working with us?         Yes
Please Explan
Skills Discription:
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Personal Information

Employment History


Are you currently employed?     Yes      No
If you are currently employed, may we contactyour current employer?     Yes      No
Please describe past and present employment positions dating back five years. Please account for all periods of unemployment. Even if you have attached a resume, this section must be completed.
    This will be my first job.

Most Recent Employer

Name of Employer:
Name of Supervisor:
Telephone Number:
Business Type:
Street Address:
City:
State:
Zip:
Length of Employment:
Start Date:
End Date:
Position and Duties:

Reason for Leaving:

May we contact this employer for references?     Yes      No


Add Employer


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Employment History

References


List below three people who have knowledge of your work performance within the last four years. Please include professional references only.
First Name:
Last Name:
Phone #:
Address:
Street:
City:
State:
Zip:
Occupation:
# Years Acquainted:


Add Reference
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References

Terms and Conditions


I certify that I have not purposely withheld any information that might adversely affect my chances for hiring. I attest to the fact that the answers given by me are true & correct to the best of my knowledge and ability. I understand that an omission (including any misstatement) of material fact on this application or on any document used to secure can be grounds for rejection of application or, if I am employed by this company, terms for my immediate expulsion from the company.

I understand that if I am fully employed, my employment is not definite and can be terminated at any time either with or without prior notice, and by either the company or myself.

I permit the company to examine my references, record of employment, education record, and any other information I have provided. I authorize the references i have listed to disclose any information related to my work record and my professional experiences with them, without giving me prior notice of such disclosure. In addition, I release the company, my former employers & all other persons, corporations, partnerships & associations from any & all claims, demands or liabilities arising out of or in any way related to such examination or revelation.

    I agree to these terms and conditions.

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