Seasonal Employment Application "*" indicates required fields Date* MM slash DD slash YYYY Name First Last Nickname (if preferred) Email Address Phone Number Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Recent Employment HistoryCompany Description of duties Dates Employed Reason for Leaving Company Description of duties Dates Employed Reason for Leaving Have you ever applied for or worked at Original Works? Yes No If yes, when? Have you changed your name since then? Yes No Former Name What 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:ReferenceName Address PhoneIf 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 ContactName Phone Number Relationship How 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
