Outlaw Employment Application

Position(s) Applied For

Date of Application

Name

First Middle Last

Address

Street Address Address Line 2 City State ZIP Code

Phone

Alternate Phone

Social Security Number (If available)

How Did You Hear About Us?

Newspaper Ad
Employment Agency
Other

Current Employee

Are you legally eligible to work in the United States?

Yes
No

(Proof of eligibility will be required upon offer of employment)

Are you over the age of 21 years?

Yes
No

(If no, you may be required to provide authorization)

Can you with or without reasonable accommodation perform the essential functions of this job?

Yes
No

(If you have any questions about the functions of the job, please ask the interviewer before answering this question.)

Have you ever applied to Outlaw Cigar before?

Yes
No

(If yes, please give date.)

Date

Have you ever worked for Outlaw Cigar before?

Yes
No

(If yes, please give date.)

Date

Have you ever been convicted of a felony?

Yes
No

(A conviction will not necessarily disqualify you.)

If yes, please explain

Do you have a valid driver's license?

Yes
No

(For driving positions only.)

Have you been convicted of any moving violations in the past five years?

Yes
No

If yes, please explain.

Is anyone related to you employed by Outlaw Cigar?

Yes
No

If yes, please give their name and relationship to you.

Have you ever been fired or asked to resign from a job?

Yes
No

If yes, please explain.

What salary or rate of pay do you expect to receive if employed?

On what date would you be available to work?

Days and Hours Available: (AM)

(If employed, I will notify my supervisor in writing, should my availability change.)

Days and Hours Available: (PM)

(If employed, I will notify my supervisor in writing, should my availability change.)

Education

For each level, please provide the name and location of the school, course of study major, number of years completed and the diploma and/or degree.

Elementary School

High School

Collage

Graduate

Vocational

Please list any academic honors, scholarships, offices held, etc.

(Do not list any which reflect your race, color, religion, gender, national origin, age, disabilities or veteran status.)

Describe any specialized training, apprenticeships, licenses or skills.

Have you received any job-related training in the United States Military?

Yes
No

If Yes, please give dates and explanation.

Employment History

(Begin with current or most recent employer.) Do not exclude any employment. Include any applicable temporary employment attach another sheet if necessary. Previous salaries or wages will not be used to determine compensation at Outlaw Cigar LLC.)

Company Name

Employment Dates: From-To

Salary: Start-End

Name and Title of Supervisor

First Last

Address

Street Address Address Line 2 City State ZIP Code

Phone

Reason for leaving and explanation.

Company Name

Employment Dates: From-To

Salary: Start-End

Name and Title of Supervisor

First Last

Address

Street Address Address Line 2 City State ZIP Code

Phone

Describe your duties:

Reason for leaving and explanation.

Company Name

Employment Dates: From-To

Salary: Start-End

Name and Title of Supervisor

First Last

Address

Street Address Address Line 2 City State ZIP Code

Phone

Describe your duties:

Reason for leaving and explanation:

Company Name

Employment Dates: From-To

Salary: Start-End

Name and Title of Supervisor

First Last

Address

Street Address Address Line 2 City State ZIP Code

Phone

Describe your duties:

Reason for leaving and explanation

Please provide any other information that you feel will help us in considering your application for employment.

References

(Please list three persons, who are not related to you or previous supervisors, who can provide professional references.)

References

Name	Address	Phone	Relationship / Occupation	Years Known

Please click the "+" to add more references.

APPLICANT ACKNOWLEDGEMENT AND AUTHORIZATION

*PLEASE READ CAREFULLY BEFORE SIGNING*

I hereby certify that all of the information provided by me in this application (or any other accompanying or required documents) is correct, accurate and complete to the best of my knowledge. I understand that the falsification, misrepresentation or omission of any facts in said documents will be cause for denial of employment or immediate termination of employment regardless of the timing or circumstances of discovery.

I understand that submission of an application does not guarantee employment. I further understand that, should an offer of employment be extended by Outlaw Cigar LLC (hereinafter referred to as “Outlaw”) that such employment with Outlaw is at will, for no specified duration and may be terminated by either Outlaw or myself at any time, with or without cause or notice. I understand that none of the documents, policies, procedures, actions, statements of Outlaw or its representatives used during the employment process is deemed a contract of employment real or implied. I understand that no representative of Outlaw except the President has the authority to enter into any agreement guaranteeing any conditions of employment or any agreement contrary to the foregoing statements and that any such agreements must be made in writing and signed by the President of Outlaw.

In consideration for employment with Outlaw, if employed, I agree to conform to the rules, regulations, policies and procedures of Outlaw at all times and understand that such obedience is a condition of employment. I understand that due to the nature of Outlaw business, attendance and punctuality are considered essential requirements of every job at Outlaw and that poor attendance or tardiness will result in disciplinary action.

I understand that if offered a position with Outlaw, I may be required to submit to a pre-employment medical examination, drug screening and background check as a condition of employment. I understand that unsatisfactory results from, refusal to cooperate with, or any attempt to affect the results of these pre-employments tests and checks will result in withdrawal of any employment offer or termination of employment if already employed.

I herby authorize any and all schools, former employers, references, courts and any others who have information about me to provide such information to Outlaw and/or any of its representatives, agents or vendors and I release all parties involved from any and all liability for any and all damage that may result from providing such information.

I understand that this application is considered current for three months. If I wish to be considered for employment after this period I must fill out and submit a new application.

BY SIGNING BELOW I ACKNOWLEDGE THAT I HAVE READ, UNDERSTOOD AND AGREE TO THE ABOVE STATEMENTS.

Please Type Your Full Name and Todays Date.

Name and number of person completing this form if other than applicant:

OUTLAW CIGAR LLC IS PROUD TO BE AN EQUAL OPPORTUNITY EMPLOYER. ALL QUALIFIED APPLICANTS WILL RECEIVE CONSIDERATION WITHOUT REGARD TO RACE, COLOR, RELIGION, GENDER, NATIONAL ORIGIN, AGE, DISABILITY, VETERAN STATUS OR ANY OTHER STATUS PROTECTED BY LAW.

Education

Employment History

References

APPLICANT ACKNOWLEDGEMENT AND AUTHORIZATION

Title

Outlaw North

Outlaw South

Outlaw Cigar Brewery

Outlaw Employment Application

Education

Employment History

References

APPLICANT ACKNOWLEDGEMENT AND AUTHORIZATION

Title

Outlaw North

Outlaw South

Outlaw Cigar Brewery

Age Verification