Bliss Acai Online Job Application Positions Applying For: Please check all that you would like to apply for: Manager Supervisor Associate Personal Data Name * First Name Last Name Email * Phone * (###) ### #### Are you 16 years or older? * Yes No Are you 18 years or older? * Yes No General Information Please specify desired hourly wage or annual salary. $ Type of Employment Desired Full Time Part Time Seasonal Date Available for Employment MM DD YYYY Employment Experience List present and past employment, beginning with your most recent first. You may also list verifiable volunteer work. Previous Employer Employment Start Date MM DD YYYY Employment End Date MM DD YYYY Job Position and or Title for all positions held at this employer Reason for leaving Previous Employer Employment Start Date MM DD YYYY Employment End Date MM DD YYYY Job Position and or Title for all positions held at this employer Reason for leaving Education & Training Institution/School Name Program Educational level while attending Not Specified High School/GED Technical Diploma Associate's Degree Bachelor's Degree Master's Degree Doctorate Degree Non Degree Program Other Status Not Specified Completed Currently Enrolled Did Not Finish Please explain why you are a great candidate for Bliss Acai. Any other information Please tell us any other information that would be applicable of why we should hire you. Electronic Signature * I certify that the information given above is true and complete, and I understand that any misrepresentation and/or withholding of information may result in the rejection of my application or my discharge if discovered after employment begins. I Agree I Disagree Thank you for your application! We will be in contact with you shortly regarding your application. If you would like to send in a formal Résumé please send it to emily.sakowski@blissacai.com.Thanks again!
