Apply to P.K. Bennett

Applicant Information

First Name

Middle Initial

Last Name

Street Address

Apartment/Unit #

City

State

Postal Code

How long have you been at the above address?

Phone

Email Address

Date Available

Desired Salary

Position Applied for

Are you 18 years or older?
Yes
No

Type of employment desired
Full Time
Part Time

Are you a citzen of the United States?
Yes
No

If no, are you authorized to work in the U.S.?
Yes
No

Have you ever worked for this company?
Yes
No
If so, when?

Have you ever been convicted of a felony?
Yes
No
If so, explain

What is your means of transportation to work?

Do you have a driver's license?
Yes
No

Driver's License Number

State of Issue

Expiration Date

Education

Please list your education history.

High School

Address

From

To

Did you graduate?
Yes
No

Diploma Type:
Diploma
GED

College

Address

From

To

Did you graduate?
Yes
No

Degree

Other

Address

From

To

Did you graduate?
Yes
No

Degree

References

Please list three professional references.

Full Name

Relationship

Company

Phone

Address

Full Name

Relationship

Company

Phone

Address

Full Name

Relationship

Company

Phone

Address

Previous Employment

Please list your work experience for the past five years beginning with your most recent job held.
If you were self employed, give firm name.

Company

Phone

Address

Supervisor

Last Job Title

Starting Salary

Ending Salary

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company

Start Date

End Date

Reason for Leaving (be specific)

May we contact your supervisor for a reference?
Yes
No

Company

Phone

Address

Supervisor

Last Job Title

Starting Salary

Ending Salary

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company

Start Date

End Date

Reason for Leaving (be specific)

May we contact your supervisor for a reference?
Yes
No

Company

Phone

Address

Supervisor

Last Job Title

Starting Salary

Ending Salary

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company

Start Date

End Date

Reason for Leaving (be specific)

May we contact your supervisor for a reference?
Yes
No

Military Service

Please list your Military experience, if any.

Branch

From

To

Rank at Discharge

Type of Discharge

If other than Honorable, explain

Résume

Please upload a copy of your résume, if you have one

Upload File

Additional Information

An application form sometimes makes it difficult for an individual to adequately summarize a complete background. Use the text area below to add any additional information necessary to describe your full qualifications for the specific position for which you are applying.

Did you complete this application yourself?
Yes
No

If not, who completed this application?

Application Form Waiver

In exchange for the consideration of my job application by PK Bennett Jewelers (hereinafter called "the Company") I agree that: Neither the acceptance of this application nor the subsequent entry into any type of employment relationship, either in the position applied for or any other position, and regardless of the contents of employee handbooks, personnel manuals, benefit plans, policy statements, and the like as they may exist from time to time, or other Company practices, shall serve to create an actual or implied contract of employment, or to confer any right to remain an employee of the Company, or otherwise to change in any respect the employment-at-will relationship between it and the undersigned, and that relationship cannot be altered except by a written instrument signed by the President/General Manager of the Company. Both the undersigned and the Company may end the employment relationship at any time, without specified notice or reason. If employed, I understand that the Company may unilaterally change or revise their benefits, policies and procedures and such changes may include reduction in benefits. I authorize investigation of all statements contained in this application. I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give the Company permission to contact schools, previous employers (unless otherwise indicated), references, and others, and hereby release the Company from any liability as a result of such contact. I also understand that (1) the Company has a drug and alcohol policy that provides for pre-employment testing as well as testing after employment; (2) consent to and compliance with such policy is a condition of my employment; and (3) continued employment is based on the successful passing of testing under such policy. I further understand that continued employment may be based on the successful passing of job-related physical examinations. I understand that, in connection with the routine processing of your employment application, the Company may request from a consumer reporting agency an investigative consumer report including information as to my credit records, character, general reputation, personal characteristics, and mode of living. Upon written request from me, the Company will provide me with additional information concerning the nature and scope of any such report requested by it, as required by the Fair Credit Reporting Act. I further understand that my employment with the Company shall be probationary for a period of ninety (90) days and further that at any time during the probationary period or thereafter, my employment relation with the Company is terminable at will for any reason by either party. By clicking "Accept" below, I hereby accept all the terms outlined in this Waiver.

Do you accept the terms listed above in the Application Form Waiver?
Accept
Deny

P.K. Bennett Jewelers Employment Application

Applicant Information

Education

References

Previous Employment

Military Service

Résume

Additional Information

Application Form Waiver