Job Application Step 1 of 5 20% Personal InformationToday's Date MM slash DD slash YYYY Name First Last Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneEmail Date of Birth MM slash DD slash YYYY I am a... Male Female Social Security Number Job CharacteristicsPosition Applying ForGeneral ManagerAssistant ManagerFull-Time CashierPart-Time CashierFull-Time Stock PersonPart-Time Stock PersonFull-Time Cashier and Food ServiceFull-Time Pinata Manufacturing PersonOffice ReceptionistDate Available to Start MM slash DD slash YYYY Experience in this position (years) Experience in this position (months) Desired SalaryAre you a US citizen? Yes No If not a US citizen, may you legally work in the US? Yes No Have you work for this company before Yes No If yes, when did you work for this company? Have you been convicted of a crime? Yes No If yes, please explain.Are you currently employed? Yes No May we contact your current employer? Yes No Number of hours available to work per week Monday Start : Hours Minutes AM PM AM/PM Monday End : Hours Minutes AM PM AM/PM Tuesday Start : Hours Minutes AM PM AM/PM Tuesday End : Hours Minutes AM PM AM/PM Wednesday Start : Hours Minutes AM PM AM/PM Wednesday End : Hours Minutes AM PM AM/PM Thursday Start : Hours Minutes AM PM AM/PM Thursday End : Hours Minutes AM PM AM/PM Friday Start : Hours Minutes AM PM AM/PM Friday End : Hours Minutes AM PM AM/PM Saturday Start : Hours Minutes AM PM AM/PM Saturday End : Hours Minutes AM PM AM/PM Sunday Start : Hours Minutes AM PM AM/PM Sunday End : Hours Minutes AM PM AM/PM Do you have reliable transportation? Yes No Which location are you interested in working?Brighton Park (Chicago, IL)Little Village (Chicago, IL)Logan Square (Chicago, IL)Chicago Ridge, ILAurora, ILAll Locations EducationHighest Level of Education Completed7891011High School GraduateAssociate's DegreeBachelor's DegreeMastersDoctorateName of last school you attended Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code From Date MM slash DD slash YYYY To Date MM slash DD slash YYYY Did you graduate? Yes No Degree Other skills and abilitiesAre you currently a student? Yes No Languages you speak/understand ReferencesList three persons that are not members of your family and have know for more than year.Reference 1Name First Last How long have they known you?Less than 1 year1-2 years3-5 years5-10 years10+ yearsCompany or business Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneReference 2Name First Last How long have they known you?Less than 1 year1-2 years3-5 years5-10 years10+ yearsCompany or business Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneReference 3Name First Last How long have they known you?Less than 1 year1-2 years3-5 years5-10 years10+ yearsCompany or business Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone Recent Job HistoryName of business or employer Supervisor Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhonePosition Held Starting SalaryEnding SalaryResponsibilitiesFrom Date MM slash DD slash YYYY To Date MM slash DD slash YYYY Reason for leaving Upload your resumeAccepted file types: jpg, doc, docx, gif, png, pdf, Max. file size: 128 MB.I certify that I have read and completed both sides of this application and that the information contained in it is correct to the best of my knowledge and understand that any omission or misinformation, is reason for dismissal according to the policy of Dulcelandia stores. I give my permission to the people on my list of references to provide them all the information about my previous work and personal information and absolve everyone of damage with this information. I acknowledge that Dulcelandia reserves the right to change the policies of the manual and other practices of Dulcelandia without any advance notice. These policies of Dulcelandia do not signfy a contract with Dulcelandia and employment may be terminated at the company's discretion.CAPTCHANameThis field is for validation purposes and should be left unchanged. Δ