Employment Application


Date *
Name *
Contact number *
Social Security Number
"Required if offered a position"
Emergency Contact Name & Relationship (Phone Number) *
E-mail *
Please attach Resume below
When attaching Resume, please include a list of three professional references.
Upload Resume *
EDUCATION ( please list below) *
Please list your deduction background, begging with High School. Include technical school and military training, ect.
Position Applying for: *
Are you eligible to work in the United States? *
Are you at least 18 years of age? *
Will you now or in the future require sponsorship for employement VISA Status (e.g.,H-1B) *
Have you been convicted of a crime in the last seven years from the date of this application? *
If yes, please state the nature of the crime, date, place of conviction(s), and the legal disposition of the case: *
Date Available *
Will you relocate, if necessary? *
Salary Desired Hourly/Annual *
Are you available to work *
Have you previously applied for work at Crown Distributing, LLC? *
If "yes" when and what position *
How did you learn about this opportunity? *
1. I have read and fully understand the questions in the application and I certify the answers I have given in this application are true and complete to the best of my knowledge, and I understand that any false or misleading answers, omissions or concealment of facts will disqualify me from consideration of employment or, if hired, will be grounds for my immediate separation of employment. 2. I hereby authorize Crown Distributing, LLC. (the company) and its agents (including any investigative agencies retained by the company) to request and receive any information and records concerning me, including but not limited to my character, general reputation, background, consumer credit, criminal record, education and prior employment. I grant permission to any person, educational institution, firm, partnership, corporation, governmental or law enforcement agency authority to provide the Company any information pursuant to this authorization, and hereby release the Company, its employees, representatives and agents and the above-listed entities from any and all liability, claims or damages in connection with obtaining or releasing such information. I understand that should employment be denied based on information obtained from a consumer reporting agency, the Company will comply with the requirements of the Fair Credit Reporting Act. 3. If hired, I agree to abide by the policies and expectations of the Company and understand that my employment is "at will" and can be terminated by me or by the Company at any time without cause subject only to applicable requirements of law and I will be paid only for services rendered to the time of my termination. In the event the Company advances me money or other items of value, or I otherwise become indebted financially to the Company, I agree to repay the Company and also agree any wages due to me upon termination may be offset by payroll deduction again such monies due the Company, except where prohibited by applicable law. 4. Nothing herein or during my employment shall be considered an employment contract and I understand no party has the authority to vary the foregoing conditions, with the sole exception written variances signed by the President of the Company. 5. By signing below, I certify and acknowledge that I have read the statements and that I understand them.
Signature of Applicant *