Application For Employment

Please leave this field empty.

An Equal Opportunity Employer

(* required fields)

Which location would you like to apply for? *

DraperOremTaylorsville

1. Name *
   

2. Address *
   

3. Phone # *
   

4. Email Address (may be used in future for notifications and scheduling)
   

5. Are you under the age of 18?
   YesNo

6. If under 18, please submit your birth date. Do not submit if older.
   

7. Have you been employed by us before? *
   Yes/ No - If yes, explain *

8. Have you ever been convicted of a crime other than a minor traffic violation? *
   Yes/ No - If yes, explain *
   

9. Do you have any physical condition which may limit your performance? *
   

10. Do you have adequate transportation? *
    

11. Do you have a food handlers permit? If not, are you willing to get one? *
    

Education

12. What's the Highest level education you've achieved? What Grade? *

13. Which School do/did you attend? *
    

14. What is/was your GPA? *
    

Employment History

15. Dates, Name, Address, Phone, Salary, Position, Reason for Leaving Most Recent or Current
    

16. Dates, Name, Address, Phone, Salary, Position, Reason for Leaving
    

17. Dates, Name, Address, Phone, Salary, Position, Reason for Leaving
    

Opportunities and Time

18. Would you work*
    DayNightPart TimeFull TimeWeekendsHolidaysLate Nights

19. How many months do you intend to work for us? *

    36912moreOthers
    

20. In Case of Emergency Notify Name and Phone *
    

21. How did you hear of us? *
    

22. Additional information to consider
    

All persons hired will be expected to attend an orientation meeting prior to starting at the store as a condition of employment. By submitting this form you're stating the above information is true and correct to the best of your knowledge and give Leatheryby's permission to verify it.