Seasonal Employment Application "*" indicates required fields Date* MM slash DD slash YYYY Name First Last Nickname (if preferred)Email AddressPhone NumberAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Recent Employment HistoryCompanyDescription of dutiesDates EmployedReason for LeavingCompanyDescription of dutiesDates EmployedReason for LeavingHave you ever applied for or worked at Original Works? Yes No If yes, when?Have you changed your name since then? Yes No Former NameWhat type of work did you do here?Why did you leave?Do you have any special skills or experience that would help you be successful at Original Works? Please explain:Do you have reliable transportation? Yes No Have you ever been convicted of a crime? Yes No If YES, please explain:ReferenceNameAddressPhoneIf hired, do you have any issues that would prevent you from working your committed schedule? Yes No If YES, please explainAre you 18 years of age or older? Yes No Are you a US citizen, or approved to work in the US? Yes No Why would you like to work at Original Works?Emergency ContactNamePhone NumberRelationshipHow did you hear about us?Referred by this employee:At-Will EmploymentThe relationship between you and Original Works Yours, Inc. is referred to as employment at will. This means that your employment can be terminated at any time for any reason, with or without cause or notice, by you or Original Works Yours, Inc.Failure to provide complete & accurate information can be grounds for dismissalOriginal Works participates in the Federal E-Verify program. We will verify the identity and employment eligibility of all new employees. CAPTCHA
