Eric Scott Job Application Applicant Information About YouName* First Last Email Address* Phone Number*Address* Street Address City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Position Applying For*Date Available to Start* MM slash DD slash YYYY Are you a United States citizen? If not, are you authorized to work in the U.S.?* Yes, I am a Citizen of the United States No, I am not a citizen of the United States but I am authorized to work in the U.S. No, I am not a citizen of the United States and I am not authorized to work in the U.S. EducationDid you graduate high school?**Did you graduate high school?*YesNoDid you graduate college?**Did you graduate college?*YesNoMilitary ServiceIf you served in the military, what branch?Previous Employment 1Company Previous Employment 1*Address Previous Employment 1* Street Address City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone Number Previous Employment 1*Supervisor Previous Employment 1**Job Title Previous Employment 1**Start Month/Year Previous Employment 1** MM slash DD slash YYYY End Month/Year Previous Employment 1** MM slash DD slash YYYY Previous Employment 2Company Previous Employment 2Address Previous Employment 2 Street Address City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone Number Previous Employment 2Supervisor Previous Employment 2*Job Title Previous Employment 2*Start Month/Year Previous Employment 2 MM slash DD slash YYYY End Month/Year Previous Employment 2 MM slash DD slash YYYY Previous Employment 3Company Previous Employment 3Address Previous Employment 3 Street Address City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone Number Previous Employment 3Supervisor Previous Employment 3Job Title Previous Employment 3Start Month/Year Previous Employment 3 MM slash DD slash YYYY End Month/Year Previous Employment 2 MM slash DD slash YYYY ResumeResume Upload Drop files here or Select files Accepted file types: pdf, Max. file size: 2 MB. Choose FileAgreements I certify that the information contained in this application is true and complete to the best of my knowledge. I understand that falsification and/or omissions in this application in any detail is grounds for disqualification from further consideration or, if this application leads to employment, I understand that false or misleading information in my application or interview may result in my release at the time Eric Scott Leathers, LLC discovers the false or misleading information. I authorize Eric Scott Leathers, LLC to investigate the information provided on this application and to secure additional information about me, if job related, and authorize past employers, references and other persons to answer all questions asked by Eric Scott Leathers, LLC about me and I release all such personnel from liability or damage resulting from having furnished such information.Agree 1* Agree I agree to conform to the rules and regulations of Eric Scott Leathers, LLC, and understand that if hired I will be an “employee-at-will”, and that my employment and compensation can be terminated with or without cause and with or without notice, at any time, at the option of either Eric Scott Leathers, LLC or myself. Provided that law permits, I further agree to submit to alcohol or drug screening tests, where and whenever legal, if requested of me at any time prior to or during my employment.Agree 2* Agree CommentsThis field is for validation purposes and should be left unchanged. 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