Liebmans - Liebmans Application

Personal Information

Must be 16 years old by first day of employment.

Starting salary with no experience $16/hr. Retail experience starting salary $16-$18/hr.

Name Prefix

First Name

Last Name *

Address Type *

Address Country *

Address 1 *

Address 2

Address City *

Address State *

Address Zip Code *

Phone Type

Phone Country

Phone Number *

Phone Extension

Email Type

Email *

Spoken Language

Work/Volunteer Experience

Company

Job Title

Job Title/Responsibilities

Start Date

End Date

Reason For Leaving

Managers Name/Title

Name Prefix 1

First Name 1

Last Name 1 *

Phone Type 1

Phone Country 1

Phone Number 1 *

Phone Extension 1

Email Type 1

Email 1 *

Education

Level of Education

If Current Student, Please List School & Grade

Skills

Do You Speak another language? If so please list.

After School Clubs/Extracurricular Activities

Availability

Vacations Or Activities Planned For Summer?

Full Time, Part Time or Seasonal Work

Full Time

Part Time

Summer Seasonal

Please List Any Days You are Unable to Work and Why