| Name: |
|Date of Birth: |
|Mailing Address: |
|Your availability: |
|What prompted you to apply? |
|Previous Employer 1 Name and Contact|
|Previous Employer 2 Name and Contact|
|Have you ever been disciplined for being absent or tardy by a previous employer?|
|Have you ever been discharged or asked to resign by a previous employer? |
|During the past 10 years, have you ever been convicted of any crime, including under the influence of intoxicants? |
If yes, give date, nature and location of offense(s).
A conviction will not necessarily bar you from employment. It will be considered only as related to the job in question.
|Reference 1 Name, Phone & Relation|
|Reference 2 Name, Phone & Relation|
We consider applicants for all positions without regard to race, color, religion, creed, sex, national origin or any other consideration made unlawful by federal, state or local laws.
You declare that all statements and answers in this application are true, accurate and complete. You also agree that if employed, any untruth, misleading answers, omissions, concealment, or failure to answer any question fully, completely and accurately will be grounds for terminating employment. You authorize NuVapes LLC or a NuVapes agent to investigate my references, to communicate with my former employers concerning same, make an independent investigation of my character/conduct/employment/ record and to keep and reserve records of such investigations. In compliance with the Fair Credit and Reporting Act (15 U.S.C.S. Section 1681). I am advised that a routine investigative consumer report may be conducted relative to my character, general reputation, personal characteristics and credit history. You have the right to request the source, information, nature and scope of the investigation, if one is conducted. If employed, you agree to read and comply with company rules, regulations and policies. It is mutually understood and agreed that any employment you accept is not confined to a fixed term and may be ended by either party at will, with or without cause or prior notice. No representative of NuVapes LLC has authority to make any contrary agreement. I understand that Federal Law prohibits the employment of illegal aliens. All persons hired must submit satisfactory proof of employment authorization. Failure to submit same within the required time shall result in immediate employment termination.|
By submitting this preliminary application you are confirming you agree to the above terms.