Your Full Name *

Email *

Cell Phone Number *

Street Address *

City *

State *

Zip Code *

High School Attended

Year you graduated from High School

College

Area Studied

Did you graduate from college?

• Yes
• No

Please list any other education you may have from trade schools, business schools, etc. Also you may list any special training, skills, or trades you may possess

Previous Employer #1

Phone Number

Supervisor

Position

Below describe your responsibilities and duties

Salary

Reason for leaving

May we contact your employer for a reference?

• Yes
• No

Previous Employer #2

Phone Number

Supervisor

Position

Below describe your responsibilities and duties

Salary

Reason for Leaving

May we contact your employer for a reference?

• Yes
• No

Use the space below to tell us about yourself, achievements, or any experiences that may make you an excellent candidate for our organization. You may also paste your resume.

Have you ever been convicted of any crime other than a minor traffic violation

• Yes
• No

If yes, please explain

Have you ever worked in retail sales?

• Yes
• No

If yes, please explain

Can you pass a routine background check? *

• Yes
• No

Do you have the legal right and necessary papers to work and live in the United States? *

• Yes
• No

Where did you hear of Gorilla Fireworks?

Additional comments

I certify the above information to be true and accurate to the best of my knowledge. Furthermore, I understand any false statements or failure to disclose information may be grounds to disqualify me for employment. The information I have submitted is subject to verification by a complete background check, criminal record check, and employment verification. *

• By checking this box, I sign this application and agree with the above statement.
• I do not confirm acknowledgement of the statement above.

Submit

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