Lasting Order Employment Application

First Name *

Last Name *

Email *

Phone *

Date Available: *

Position Applied For: *

Desired Pay: *

Have you ever been convicted of a felony? *

Yes

No

If yes (to felony), explain:

Social Security Number:

Are you a citizen of the United States? *

Yes

No

If no, are you authorized to work in the U.S?

Yes

No

Have you ever worked for this company? *

Yes

No

If yes (worked for LO), when?

If you attach a resume below, skip the sections about education and previous employment.

Attach Resume Here:

Education

High School:

College:

Other Education:

Military Service

Previous Employment

Previous Employer #1:

Employer Dates #1:

Employer Info #1:

Supervisor Name #1:

Previous Employer #2:

Employer Info #2:

Employer Dates #2:

Supervisor Name #2:

Previous Employer #3:

Employer Info #3:

Employer Dates #3:

Supervisor Name #3:

May we contact your previous supervisor(s) for a reference? *

Yes

No

How did you hear about Lasting Order? *

Today's Date: *

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business.