Employment Application Employment Application "*" indicates required fields Step 1 of 6 16% Your Personal InformationYour Name* First Last Your Email Address* Your Phone*Address* Street Address Address Line 2 City State AlabamaAlaskaAmerican 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 ZIP Code Date of Birth* MM slash DD slash YYYY Best Time To Call YouWhen is the best time for us to reach you via telephone?MorningsEarly AfternoonLate AfternoonEarly Evening Position You're Applying ForPosition You're Applying For* Employment Desired* Full-Time Only Part-Time Only Full or Part-Time Previous Glass Experience*Have you ever worked for a Glass Shop? Yes No Do you have a resume?* Yes No Upload Your Resume*Upload your resume in .pdf, .doc or .docx formatAccepted file types: pdf, doc, docx, Max. file size: 25 MB.Have you ever been convicted of a crime? Yes No Explain the Nature of the Crime Your Previous Employers*Please list your previous employers, the dates you worked and the position you heldEmployerDate StartedDate LeftPositionPhone Add Remove Are you currently enrolled in school?* Yes No Current SchoolCurrent Education*Name of SchoolType of SchoolLocation of SchoolMajorNumber of Years CompletedPrevious Education*Name of SchoolType of SchoolLocation of SchoolMajorNumber of Years Completed Add Remove References*NameCompanyPositionPhoneEmail Add Remove Signature*EmailThis field is for validation purposes and should be left unchanged.