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PERSONAL INFORMATION
Equal access to programs, services and employment is available to all persons. Those applicants requiring reasonable accomodation to the application and/or interview process should notify a representative of the Human Resources Department.
/ /

Do you own a dependable automobile to get you to and from work?
Yes No

How will you be getting to work?



Referral Source::
Advertisment Employee
Gov. Emp. Agency Private Emp. Agency
Walk-In Relative





EMPLOYMENT DESIRED
Desired position:

Type of employment desired:

Desired start date:
/

Desired salary:

Check all regions your are willing to work in.
California
Laguna Nigel Lake Forest
Rancho Santa Margarita Ladera Ranch
Irvine Upland
Los Angeles
Colorado
Boulder Central Denver
North Denver East Denver
South Denver Ft. Collins
Longmont Greely
Kansas
Wichita
Oklahoma City Metro
North OKC South OKC
Midwest City Edmond
Yukon Mustang
Norman
Tulsa Metro
Tulsa Owasso

Are you currently employed?
Yes No

Are you available for full time work? Yes No

Do you have previous sales experience? Yes No

Why do you think that At The Beach should hire you for a sales position
and what assets do you feel you have to offer our team?

Do you need any extended period of time off in the next year? Yes No

Will you work overtime, if required? Yes No

Have you been convicted of a felony or misdemeanor in the last seven (7) years?
Yes No

Summarize any special training, skills, licenses and/or certificates that may qualify you as
being able to perform the job-related functions in the position for which you are applying.

Special accomplishments, publications, awards, etc. (exclude information which would reveal
sex, race, religion, national origin, age, color, disability or other protected status)

List any additionaly information you would like us to consider.

Please check the times you are NOT able to work.
  Mon Tues Wed Thur Fri Sat Sun
Mornings
Afternoons
Evenings




EDUCATIONAL BACKGROUND
(if job related)

List up to 3 schools attended, starting with most recent.


1. School Name:
   Years Completed:
   Degree/Diploma:
    Class Rank:
   Major:
   Minor (if applicable):

2. School Name:
   Years Completed:
   Degree/Diploma:
    Class Rank:
   Major:
   Minor (if applicable):

3. School Name:
   Years Completed:
   Degree/Diploma:
    Class Rank:
   Major:
   Minor (if applicable):





EMPLOYMENT HISTORY

Provide the following information about your past and current employers, assignments or volunteer activities, starting with the most recent. Explain any gaps in employment in the comments below.

Have you ever been employed here before? Yes No
   Employed: / to /

1. Company Name:
   Address:
   Supervisor:
   State Job, Title,
   and describe your work:
   Telephone:
   Employed: / to /
   Weekly pay: Start: End:
   Reason for leaving:
   May we contact referrence? Yes No

2. Company Name:
   Address:
   Supervisor:
   State Job, Title,
   and describe your work:
   Telephone:
   Employed: / to /
   Weekly pay: Start: End:
   Reason for leaving:
   May we contact referrence? Yes No




PERSONAL REFERENCES


1. Name:
   Telephone:
   Years known:

2. Name:
   Telephone:
   Years known:

3. Name:
   Telephone:
   Years known:




VOLUNTARY INFORMATION
The company is an equal opportunity employer committed to a diverse work force. In order to assist us in our efforts, we invite you to voluntarily provide responses to the following requests for information. Failure to respond will not subject you to adverse treatment. This information shall be kept confidential and separate from your application. Information provided will be used only in accordance with the law and for equal opportunity purposes.


I do not wish to furnish this information Yes No

Male Female

American Indian
Asian
Black or African American
Alaskan Native
White
Native Hawaiian or Other Pacific Islander

I understand that if I am employed, any misrepresentation or material omission made by me on this application will be sufficient cause for cancellation of this application or immediate discharge from the employer's service, whenever it is discovered.

I give the employer the right to contact and obtain information from all references, employers, educational institutions and to otherwise verify the accuracy of the information contained in this application. I hereby release from liability the employer and its representatives for seeking, gathering and using such information and all other persons corporations or organizations for furnishing such information.

This application is current for only 60 days. At the conclusion of this time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary to fill out a new application.

If I am hired, I understand that I am free to resign at any time, with or without cause and without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no representative of the employer, other than an authorized officer, has the authority to make any assurances to the contrary. I further understand that any such assurances must be in writing and signed by an authorized officer.

I understand it is the company's policy not to refuse to hire a qualified individual with a disability because of that person's need for a reasonable accommodation as required by the ADA.

I also understand that if I am hired, I will be required to provide proof of identity and legal work authorization.
I represent and warrant that I have read and fully understand the foregoing and seek employment under these conditions.


  I agree and consent to the above terms.