Job Application

Equal Opportunity Employer

Premium eJuice USA, LLC is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Should an applicant need reasonable accommodation in the application process, he or she should contact a company representative.

Interview Information

Contacted

Applicant Information

First Name *

Middle Name

Last Name *

Address *

Street Address

Address Line 2

Apartment or Unit Number

City *

State *

Zip *

Phone Number *

xxx-xxx-xxxx

Email Address *

Availability

If Hired, When Can You Start Working? *

Start Date *

Date You Can Start if Hired

Do You Have Reliable Transportation? *

Yes

No

If Needed, Are you available to work overtime? *

Yes

No

Maybe

Personal Information

Are You 21 Years of Age or Order *

Yes

No

Are You A U.S. Citizen or Approved To Work in the Unted States? *

Yes

No

Have You Ever Been Convicted Of A Felony? *

Yes

No

Have You Ever Applied to or worked for Premium eJuice USA or Vapor Lab *

Yes

No

Do You Have Any Friends, Relatives, or Acquaintances working for Premium eJuice USA or Vapor Lab *

Yes

No

If Selected For Employment Are You Willing To Submit to a Pre-Employment Drug Screening And/Or Background Check? *

Yes

No

Previous Employment

LIST THREE PREVIOUS EMPLOYERS, STARTING WITH THE MOST CURRENT EMPLOYER FIRST

Previous Employer Name *

Job Title *

Supervisor Name *

Phone Number *

xxx-xxx-xxxx

Still Working For This Employer *

Start Date *

End Date *

Reason For Leaving

Can We Contact For A Reference *

Yes

No

Add Remove

References

PROVIDE THREE REFERENCES. PEOPLE WHO CAN TELL US HOW AWESOME YOU ARE, AND YOUR MOTHER DOES NOT COUNT!

Reference Type *

Reference Name *

Reference Phone *

xxx-xxx-xxxx

Add Remove

Resume

Upload Resume

Maximum file size: 67.11MB

Format: .PDF (Adobe Acrobat) or .DOC (Microsoft Word)

Additional Information

THE INFORMATION BELOW IS NOT REQUIRED, BUT HELPFUL!

How Did You Hear About This Position

How Long Have You Been Vaping?

I Do NOT Vape

Less Then 1 Year

1 To 2 Years

2 to 3 Years

3 to 4 Years

Over 5 Years

Have You EVER worked in a Vapor Store

Yes

No

Anyting You Want To Add

System Data

NOTHING TO SEE HERE! JUST SOME STUFF FOR OUR NERDS!

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Interview Information

Contacted

Applicant Information

Availability

Personal Information

Previous Employment

References

Resume

Additional Information

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System Data