Lemos Job Application

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Lemos Job Application

To Applicant: A MANDATORY DRUG SCREEN WILL BE PROVIDED & REQUIRED BY ALL POTENTIAL EMPLOYEES. We appreciate your interest in our company and assure you that we are sincerely interested in your qualifications. A clear understanding of your background and experience will help us in determining the position that best meets your qualifications.

• Personal Information
• Name *
  First Last
• Today's Date *
  MM / DD / YYYY
• Address: *
• City: *
• State *
• Phone *
  ### - ### - ####
• For which location(s) would you like to be considered? *
  Arroyo Grande

  Los Osos

  Santa Barbara

  Atascadero

  Morro Bay

  Santa Maria

  Carpinteria

  Nipomo

  Solvang

  Goleta

  Paso Robles

  Warehouse, AG

  Lompoc

  San Luis Obispo
• Hours/Days that you are available to work: *
• Position(s) applied for: *
• Rate of pay expected $ *
  Input hourly wage, if not salaried.
• Were you previously employed by us? *
  Yes

  No
• If yes, when?
• If your application is considered favorable, on what date will you be available for work? *
  MM / DD / YYYY
• Summarize skills, experience, special training which will be of special benefit in the job for which you are applying *
• If employed, can you provide proof of U.S. citizenship of authorization to work in the U.S.? *
  Yes

  No
• Are you at least 18 years of age? *
  Yes

  No

  State age if under 18
• Valid Drivers License *
• Have you ever been convicted of any crime other than minor traffic violations? *
  Yes

  No
• If yes, set forth the nature and dates of the conviction
• EDUCATION:
• Select last year completed *
  Elementary School - 5th grade

  Elementary School - 6th grade

  Elementary School - 7th grade

  Elementary School - 8th grade

  High School - Fresh.

  High School - Soph.

  High School - Jr.

  High School - Sr.

  College - Fresh.

  College - Soph.

  College - Jr.

  College - Sr.
• Other training or education
• EMPLOYMENT HISTORY:

  List below all present and past employment, beginning with your most recent. Resumes may NOT be substituted for this information.
• #1
• Name of Company
• Address
• City
• State
• Position Held
• Name of Supervisor
• Phone
  ### - ### - ####
• Type of Business
• From Month/Year to Month/Year
• Starting/Ending Salary
• Reason for Leaving
• Describe the Work You Did
• #2
• Name of Company
• Address
• City
• State
• Position Held
• Name of Supervisor
• Phone
  ### - ### - ####
• Type of Business
• From Month/Year to Month/Year
• Starting/Ending Salary
• Reason for Leaving
• Describe the Work You Did
• #3
• Name of Company
• Address
• City
• State
• Position Held
• Name of Supervisor
• Phone
  ### - ### - ####
• Type of Business
• From Month/Year to Month/Year
• Starting/Ending Salary
• Reason for Leaving
• Describe the Work You Did
• May we contact your current employer?
  Yes

  No
• "I certify that the information contained in this application is complete and correct to the best of my knowledge and understand that falsification or misinterpretation of this information is grounds for immediate dismissal in accordance with Lemos Feed & Pet Supply policy. I authorize the references listed above to give you any and all information concerning my previous employment as well as any pertinent information they may have, personal or otherwise, and release all parties from any and all liability for damage that may result from furnishing information to you. I understand that a more detailed investigation concerning my background may also be conducted and I hereby authorize such an investigation. I understand that nothing contained in this employment application is intended to lead or create an employment contract investigation. I understand that nothing contained in this employment application is intended to lead or create an employment contract between Lemos Feed & Pet Supply and myself with would restrict the right of the company to terminate my employment at will. I understand that Lemos Feed & Pet Supply maintains a zero tolerance drug and alcohol abuse policy and I agree to abide by these standards, or face disciplinary action up to and including termination of my employment, I agree to conform to the rules and regulations of Lemos Feed & Pet Supply and my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at the option of either the Company or myself."
• Do you agree with the terms and conditions? *
  Yes, I agree.
• Initial *
• Date *
  MM / DD / YYYY
• Paragraph Text