Career Opportunities

Employment Application

1. Employer Information

Select Employer *

Hilltop Tobacco And Vape
Forest Discount Tobacco And Vape
Lunar Leaf Emporium
Island Smokers Smoke Shop
Smokee Lane Vape Shop
Spring Daze Vape Shop
Other

Employer *

Address

City/State/Zip

Telephone

Our Policy is to provide equal employment opportunities to all applicants and employees without regard to any legally protected status such as race, religion, gender, age, disability, or veteran status.

2. Applicant Information

Applicant Full Name *

Home Address *

City/State/ZIP *

Number of years at this address

Daytime Phone

Mobile Phone *

Social Security Number *

Driver's License (State/Number)

3. Emergency Contact

Who should be contacted if you are involved in an emergency? *

Contact Name *

Relationship to you *

Address: *

City/State/ZIP *

Daytime Phone *

Evening Phone *

4. Job Position Applied For

5. Starting Salary:

Sales Representative: $11.00 Per Hour

Assistant Manager: $12.50 Per Hour

6. Who referred you to our company?

Do you have any friends or relatives who work here? If yes, please list here *

7. Have you applied to our company previously? *

Yes
No

8. Are you at least 21 years old? *

Yes
No

9. How will you get to work? *

10. Are you willing to work any shift, including nights and weekends? *

Yes
No

If No, please state any limitations

11. When would you be available to begin work if you are offered employment? *

12. Have you ever been convicted of a felony? *

Yes
No

If Yes, and you have been convicted of a Felony please provide the Charge Details including the Name of the Charge, Date, City, and State of the incident(s)

THE EXISTENCE OF A CRIMINAL RECORD DOES NOT CONSTITUTE AN AUTOMATIC BAR TO EMPLOYMENT UNLESS RELEVANT TYPE EMPLOYMENT.

13. Applicant's Skills

Check those skills that you have. List any other skills that may be useful for the job you are seeking. Enter the number

of years of experience, and check the number that corresponds to your ability for each particular skill. (One represents poor ability, while five represents exceptional ability)

Customer Service

1
2
3
4
5

General Vape Experience (MOD/Disposable Vapes)

1
2
3
4
5

Cash Handling/P.O.S

1
2
3
4
5

14. Applicant Employment History

List your current or most recent employment first. Please list all jobs (including self-employment and military service) that you have held, beginning with the most recent, and list and explain any gaps in employment.

Previous Employment #1

Employer Name

Supervisor Name

Address

City/State/ZIP

job Duties

Reason for leaving

Dates of Employments (Month/Year)

Previous Employment #2

Employer Name

Supervisor Name

Address

City/State/ZIP

Job Duties:

Reason for Leaving

Dates or Employment (Month/Year)

15. Applicant's Education and Training

High School/GED

Yes
No

School Name and Address

Did you receive a degree?

Yes
No

Other Training (Graduate, Technical, Vocational)

Please Indicate any current professional licenses or certifications that you hold:

Awards, Honors, Special Achievements

16. References

List any two non-relatives to provide a reference for you.

Reference #1

Name:

Address:

City/State/ZIP

Telephone

Relatioships

Reference #2

Name:

Address:

City/State/ZIP:

Telephone:

Relationship

Certification

By clicking 'Submit,' you agree to the following:

I confirm that all information provided in this application is accurate and truthful. I acknowledge that any false or misleading information may result in the rejection of my application or immediate termination if employed.

I grant permission to Qualified personnel of www.SmokersNook.com to contact my former employers and educational institutions for verification. I authorize these entities to share information regarding my past employment, attendance, and academic performance.

In the absence of a specific written contract of employment signed by the organization's General Manager, the employment relationship will be "at will." This means that either party can terminate the employment voluntarily and without cause, with appropriate notice.

I have read and understood the terms of this certification and agree to its conditions by clicking 'Submit.'

Applicant Signature (Typed) *

Date *

Send me a copy

Employment Application: