Online Application

Applicant Information

Name *

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Email *

Date Available

Month/Date

Are you a Citizen of the United States? If no, are you authorized to work in the U.S?

Yes, I am a Citizen of the United States
No, I am not a Citizen of the United States but I am authorized to work in the U.S.
No, I am not a Citizen of the United States and I am not authorized to work in the U.S.

Education

High School

Did you Graduate?

Yes
No

Education: College

Did you Graduate?

Yes
No

Military Service

Branch

Previous Employment

Company

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Supervisor

Job Title

Start Month/Year

End Month/Year

I certify that the information contained in this application is true and complete to the best of my knowledge. I understand that falsification and/or omissions in this application in any detail is grounds for disqualification from further consideration or, if this application leads to employment, I understand that false or misleading information in my application or interview may result in my release at the time Eric Scott Leathers, LLC discovers the false or misleading information. I authorize Eric Scott Leathers, LLC to investigate the information provided on this application and to secure additional information about me, if job related, and authorize past employers, references and other persons to answer all questions asked by Eric Scott Leathers, LLC about me and I release all such personnel from liability or damage resulting from having furnished such information.

Agree

I agree to conform to the rules and regulations of Eric Scott Leathers, LLC, and understand that if hired I will be an “employee-at-will”, and that my employment and compensation can be terminated with or without cause and with or without notice, at any time, at the option of either Eric Scott Leathers, LLC or myself. Provided that law permits, I further agree to submit to alcohol or drug screening tests, where and whenever legal, if requested of me at any time prior to or during my employment.

Agree

Applicant Information

Education

Military Service

Previous Employment

Thank you for your interest.