Employment Application

(* Required Entry)

Personal Information

Emergency Contact Information

Education and Employment

What experience do you have working with glass?*

Highest level of education achieved?*

Current or most recent employer:

May we call your most recent employer?

Yes No

Previous Employment:

Start Date:

End Date:

Start Date:

End Date:

Start Date:

End Date:

Additional Questions

Why do you want to work with Glass Heritage?*

Are you a citizen of the United States?*

Yes No

Do you have a VALID driver's license?*

Yes No

Have you ever been convicted of a felony?*

Yes No

If so, what is / are the charge(s)?

Thank you for answering these questions. We will review this information and contact you should we require further information.

By clicking "Submit", you acknowledge that you understand the procedure and that we may contact your former employer (if any) for verification of your performance in the previous position, conduct a background check and / or drug test, at our discretion.

This application is NOT an offer or a contract for employment and in no way requires Glass Heritage, LLC to advance any further than acceptance of this form.

Human✓ : What is the opposite of cold? (3 letters)