Application for Employment Olivia's Form for Employment If you are a human and are seeing this field, please leave it blank. Fields marked with a * are required. Today's Date * Date Available: * First Name * Last Name * Address 1 * Address 2 City * State * Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampsire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip / Post Code * Phone * Email Desired Salary * Are you authorized to work in the United States? * Have you worked for Olivia's before? * If yes, explain: Availability: Full Time or Part Time * Monday Availablity * Tuesday Availablity * Wednesday Availability * Thursday Availability * Friday Availability * Saturday Availability * Sunday Availability * High School * From: To: Did you Graduate? College To: From: Did you graduate? Professional Reference Full Name: * Phone * Relationship to Reference * Professional Reference Full Name: * Phone * Relationship to Reference * Previous Employment Supervisor * Job Title: * Starting Salary * Ending Salary * Responsibilities * From: * To: * Reason for Leaving: * May we contact this employer? * Other Special Skills/Training/Awards Please state yes or no if you have read, understand, and agreed to each statement * I acknowledge that I am applying for at will employment with Olivias Adult Supercenter * I understand and agree. I certify that my answers are true and complete to the best of my knowledge. * I understand and agree. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release from the company's employment. * I agree and understand I am 18 years or older. * I agree and understand. Signature * Typing your full name in the form serves as your electronic signature * I agree and understand. What is two plus 2? * Olivia's Adult Supercenter is an equal opportunity employer.