Apply For A Job At Darque Zone  
   
 
We Are Always Looking For New Faces!
Fill Out This Quick Application For Consideration

General Info

 
First Name:  
Last Name:  
Address:  
City:  

Zip Code:

Phone:  

Cell or Pager:

Date Of Birth:  
Email Address:  
     

Availability

 
How Many Hours Per Week Are You Looking For?
 
Indicate The Times You Are Available Each Day:
  MONDAY   TUESDAY   WEDNESDAY   THURSDAY   FRIDAY   SATURDAY   SUNDAY
             
 
Stores You Would Like To Be Considered For Employment At: (Check All That Apply)

Brittain     619     Brimfield     Wadsworth    

 

Past Employers

 
Most Recent Employer:
Company: Phone Number: Supervisor:

Briefly Describe Your Duties:

Reason For Leaving:

2nd Most Recent Employer:
Company: Phone Number: Supervisor:

Briefly Describe Your Duties:

Reason For Leaving:

 

Misc. Information

 

Why Do You Want To Work At Darque Zone?

Please List Any Friends or Family That Is Employed By Darque Zone:

Please List Any Special Skills That You Think Would Be Useful In This Job:

 

References

 
Please List 2 References Whom You Have Known For At Least 1 Year: (Family Members DO NOT Count)
Name: Phone:
Name: Phone:

Terms Of This Application:

By submitting this form, I am stating that all the information above is true to the best of my knowledge, and I furthermore understand that any false information provided is grounds for immediate termination of employment.  I understand that this is not an employment offer and merely an application for employment.  Employment offers will be made in person only.  I authorize Darque Zone to contact any of the references or former employers provided above.  Darque Zone is an equal opportunity employer.  M/F EOE

  

I Have Read & Agree To The Terms Of This Application

  

Initials
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Please Note: You Only Need To Apply One Time Within 90 Days

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