Employment Application

American Licorice Company is a Drug-Free Workplace. We test applicants for drugs and alcohol as a condition of employment.

All applicants are evaluated without regard to race, color, religion, gender, national origin or ancestry, age, marital or veteran status, sexual orientation, the presence of a non-job related physical or mental disability, medical condition, genetic information or any other legally protected status under state or federal law. Applicants may request any reasonable and necessary accommodation to participate in the application process.

Applicant Information

Position You Are Applying For
Last Name
First Name
Middle Initial
Street Address Line 1
Street Address Line 2
City
State
Zip
Home Phone
Mobile Phone
Email Address
Please list all days and shifts you are available to work:
Desired Salary
Date Available
How did you learn about this position?
Type of Employment Desired
If hired, can you supply proof of eligibility to work in the United States?
Will you be able to present appropriate documentation of your eligibility to work within the first three days after your hire date?
Are you under age 18? (If you are under 18, hire is subject to verification that you are a minimum legal age to work in the position applied for.)
Have you ever worked for American Licorice?
If yes, when?
Do you have any relatives who work for American Licorice?
If yes, list:
Have you pled guilty or “no contest” to or been convicted of a misdemeanor or felony within the last 10 years?
If yes, provide date(s) and details, including where/when/of what convicted*

* NOTE: This question does not apply to arrests or convictions which have been expunged by a court. Conviction of a misdemeanor or felony is not an automatic bar to employment – all circumstances will be considered.

If selected for employment, are you willing to submit to a pre-employment drug screening test?
After reading a copy of the job description, are you able to perform the essential functions of the job (with or without reasonable accommodation)? accommodation)?
Drivers License Number (ONLY if the job for which you are applying requires driving)
Drivers License Issuing State

Education

High School
High School Address Line 1
High School Address Line 2
High School City
High School State
High School Zip
High School Years Completed
High School - Did you graduate?
High School Degree

High School
High School Address Line 1
High School Address Line 2
High School City
High School State
High School Zip
High School Years Completed
High School - Did you graduate?
High School Degree

High School
High School Address Line 1
High School Address Line 2
High School City
High School State
High School Zip
High School Years Completed
High School - Did you graduate?
High School Degree

Military Service

Have you served in the military?
Military Period of Service
Military Rank When Discharged
Describe type of training and work experience received while in service:

Previous Employment

Company 1
Company 1 Address Line 1
Company 1 Address Line 2
Company 1 City
Company 1 State
Company 1 Zip
Company 1 Phone
Company 1 Supervisor
Company 1 - May we contact your previous supervisor for a reference?
Company 1 Job Title
Company 1 Starting Salary
Company 1 Ending Salary
Company 1 Responsibilities
Company 1 Starting Date
Company 1 Ending Date
Company 1 Reason For Leaving

Company 2
Company 2 Address Line 1
Company 2 Address Line 2
Company 2 City
Company 2 State
Company 2 Zip
Company 2 Phone
Company 2 Supervisor
Company 2 - May we contact your previous supervisor for a reference?
Company 2 Job Title
Company 2 Starting Salary
Company 2 Ending Salary
Company 2 Responsibilities
Company 2 Starting Date
Company 2 Ending Date
Company 2 Reason For Leaving

Company 3
Company 3 Address Line 1
Company 3 Address Line 2
Company 3 City
Company 3 State
Company 3 Zip
Company 3 Phone
Company 3 Supervisor
Company 3 - May we contact your previous supervisor for a reference?
Company 3 Job Title
Company 3 Starting Salary
Company 3 Ending Salary
Company 3 Responsibilities
Company 3 Starting Date
Company 3 Ending Date
Company 3 Reason For Leaving

References

Reference 1 Name
Reference 1 Relationship
Reference 1 Company
Reference 1 Phone
Reference 1 Number of Years Known

Reference 2 Name
Reference 2 Relationship
Reference 2 Company
Reference 2 Phone
Reference 2 Number of Years Know

Reference 3 Name
Reference 3 Relationship
Reference 3 Company
Reference 3 Phone
Reference 3 Number of Years Know

Resume

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American Licorice Employment Application Agreement

American Licorice Company strongly believes in its responsibility to provide a safe and healthful workplace for all its associates. It has a policy that forbids the use or possession of illegal drugs, controlled substances or alcohol while at the work place, during company-related business conducted off premise, and forbids associates from being at work while under the influences of these substances. I understand that I will be given a copy of this policy and will be required to sign a statement that I agree to abide by this policy during my employment. I understand that as a condition of employment, the satisfactory completion of a pre-employment drug screen will be required after an offer of employment has been made and that I will be required to abide by American Licorice Company’s policies regarding drug and alcohol possession, use, and testing if I am hired.

I authorize American Licorice Company to investigate the truthfulness of all statements made on this application and to contact my former employers, other listed references, or any other persons who can verify this information. I further authorize all former employers, individuals, and organizations named or referred to in this application and any law enforcement agency, to provide information concerning this application, my background and suitability for employment and I release each such person or entity from liability for providing such information.

I understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an “at will” nature, which means that I may resign at any time and American Licorice Company may discharge me at any time with or without cause. I further understand that my “at will” employment relationship with the company can be changed only in writing signed by the CEO of the company.

I understand and agree that any false or misleading statement made in this application or any material omission from it will be grounds for rejection or, if discovered after I am hired, grounds for immediate termination. I therefore certify that the information contained in this application is complete and correct to the best of my knowledge.