Liebmans - Liebmans Application

Personal Information

Must be 16 years old by first day of employment.

Starting salary with no experience $16.50/hr. Retail experience starting salary $16.50-$19.50/hr.

First Name

Last Name

Address Country

Address 1

Address 2

Address State

Address Zip Code

Phone Country

Phone Number

Phone Extension

Email:

Spoken Language

Field label

Work/Volunteer Experience

Company

Job Title

Job Title/Responsibilities

Start Date

End Date

Reason For Leaving

Managers Name/Title

First Name 1

New Field:

Phone Country 1

Phone Number 1

Phone Extension 1

Email 1

Field label

Education

Level of Education

If Current Student, Please List School & Grade

Free Text

Skills

Do You Speak another language? If so please list.

After School Clubs/Extracurricular Activities

Free Text

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