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JOB APPLICATION FOR aromaG’s Botanica – Nashville, TN
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Name *

First

Last

Address *

Address Line 1

Address Line 2

City

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Email *

Date Available *

Position Applying for *

Desired Salary *

Are you a citizen of the United States? *

• Yes
• No

If no, are you authorized to work in the United States? *

• Yes
• No

Have you ever worked for this company? *

• Yes
• No

Have you ever been convicted of a felony? *

• Yes
• No

If yes, explain

How did you hear about this job opening?

EDUCATION

High School *

Did you graduate? What year? *

College *

Did you graduate? What year? *

PREVIOUS EMPLOYMENT

Company *

Address

Address Line 1

Address Line 2

City

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Zip Code

Phone

Supervisor *

Job Title *

Beginning Salary *

Ending salary *

Date Hired *

Date Left *

Reason for Leaving *

May we contact your previous supervisor for a reference? *

• Yes
• No

EMPLOYMENT 2

Company *

Address

Address Line 1

Address Line 2

City

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Phone

Supervisor *

Job Title *

Beginning Salary *

Ending salary *

Date Hired *

Date Left *

May we contact your previous supervisor for a reference? *

• Yes
• No

Reason for Leaving *

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I undertstand that false or misleading information in my application or my interview may result in my release. SIGNATURE BELOW (type full name)

Date

This application is for aromaG's Botanica - aromagregory creative inc. 223 Donelson Pike, Nashville, TN 37214 | 615-360-8089 www.aromagregory.com

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