Employment Application Form - Life Touch
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1
2EMPLOYMENT APPLICATION
PLEASE PRINT
EEO Statement: Lifetouch Portrait Studios Inc. (“Lifetouch” or “the Company”) is an equal employment opportunity employer and does not discriminate
against any applicant or employee on any grounds protected under federal, state, or local law, including race, color, religion, creed, age, sex, national origin,
ancestry, marital status, pregnancy, disability (including those related to pregnancy or childbirth), sexual orientation, genetic information, complaining in good
faith to Lifetouch or to a public authority, status with regard to public assistance, membership or non-membership in a labor organization, military, National
Guard or reserve service, veteran status or any other characteristic or activity protected under federal, state or local law. None of the questions in this
application is intended to elicit information regarding any protected characteristic(s), nor imply any limitation, illegal preference or discrimination based upon
non-job-related information or protected characteristic(s). Employment shall be based solely on the Company’s needs and the individual’s qualifications.
Lifetouch complies with all applicable legal requirements in its hiring process and related tests and background checks.
Answer all questions completely and accurately. Attach additional pages if necessary.
Last Name
First
Middle Initial
Today’s Date
Present Street Address (Do not list P.O. Box)
City
State
County
Zip Code
Telephone No.
(
)
Email Address
Cell Phone No.
(
)
Position Applying For
If hired, can you furnish proof that you are eligible to work in the United
States?
Yes
No
st
Expected Rate of Pay
Full Time
1
Shift
Available Start Date
If hired, can you furnish proof that you
are you at least 18 years of age?
nd
Part Time
2
Shift
Yes
No
rd
Temporary
3
Shift
$____________________ per ____________
Seasonal
Any
Referred By: (Please check applicable box and specify if other source)
Agency
School, please specify ___________________________________________
Internet Site, please specify ______________________________________
Newspaper, please specify _______________________________________
Lifetouch Employee ____________________________________________
Other, please specify ____________________________________________
EMPLOYMENT HISTORY
Do not use “see resume” in lieu of completing application form. Please complete all sections thoroughly.
Start with most recent or present employer. Include part time and self-employment. Explain periods of non-employment below.
1
Employer
Employed
Earnings
Other Compensation
From
To
Beginning
Ending
Address
Your responsibilities
Job Title
Name of Supervisor
Reason for leaving
Title of Supervisor
Telephone No
.
May we contact this employer? Yes
No
(
)
2
Employer
Employed
Earnings
Other Compensation
From
To
Beginning
Ending
Address
Your responsibilities
Job Title
Name of Supervisor
Reason for leaving
Title of Supervisor
Telephone No
.
May we contact this employer? Yes
No
(
)
Equal Opportunity Employer
Lifetouch Application Form (rev 12.13)
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Parent category: Business