application

Personal Information

Are you a United States citizen? YesNo
If no, are you authorized to work in the U.S.? YesNo
Have you ever worked for this company? YesNo

Education

High School
Did you graduate? YesNo
College
Did you graduate? YesNo
Other
Did you graduate? YesNo

References

Please list two professional references
Reference 1
Reference 2

Previous Employment

Starting with your most recent job
Employment 1
Employment 2
Employment 3

Availability

Questionnaire






Disclaimer

SHAKE SMART IS AN EQUAL OPPORTUNITY EMPLOYER, PLEASE READ THE FOLLOWING CAREFULLY.

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. I understand and agree that nothing contained in this application is intended to create an employment contract between me and the company. I also understand and agree that if I am hired, my employment with the company will be at will, and may be terminated by either me or the company at any time, with or without cause or advance notice. I authorize the references listed above, as well as other individuals whom Shake Smart contacts, to provide Shake Smart with any and all information concerning my previous employment and any other pertinent information. Further, I release all parties and persons from all liability from any damages that may result from furnishing such information to Shake Smart as well as any use or disclosure of such information by Shake Smart or any of its agents, employees or representatives.