Darque Zone | Akron, OHIO

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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