Apply Online

Download an application form here and deliver your application in person at our Lebanoc location, or submit the form below to apply.

* indicates required field

* First Name: * First Name:

* Middle Initial: * Middle Initial:

* Last Name: * Last Name:

* Today's Date: * Today's Date

* Street Address: * Street Address:

Apartment Number: Apartment Number:

* City: * City:

* * State:

* Zip Code: * Zip Code:

* Email: * Email

* Phone: * Phone

* Have you ever worked for The Village Parlor before? * Have you ever worked for The Village Parlor before?: Yes No

If yes, when?: If yes, when?:

If yes, which location?: If yes, which location?:

* Are you legally eligible for employment in the United States? * Are you legally eligible for employment in the United States?: Yes No

* 18 years or under? * 18 years or under?: Yes No

Date of Birth (only if under 18): Date of Birth (only if under 18)

* When are you available to begin work?: * When are you available to begin work?

* Are you willing to work overtime if asked? * Are you willing to work overtime if asked?: Yes No

* Do you have any relatives currently or formerly employed by The Village Parlor? * Do you have any relatives currently or formerly employed by The Village Parlor?: Yes No

If yes, list names, positions and location: If yes, list names, positions and location

* Type of employment you are seeking * Type of employment you are seeking: Full Time Part Time

* Number of hours desired: * Number of hours desired:

Availability to Work (This section is for availability and does not guarantee your work schedule)

* Sunday * Sunday: Morning (9:30am-noon) Afternoon (noon-5pm) Evening (5pm-9:30pm) All Day Unavailable

* Monday * Monday: Morning (9:30am-noon) Afternoon (noon-5pm) Evening (5pm-9:30pm) All Day Unavailable

* Tuesday * Tuesday: Morning (9:30am-noon) Afternoon (noon-5pm) Evening (5pm-9:30pm) All Day Unavailable

* Wednesday * Wednesday: Morning (9:30am-noon) Afternoon (noon-5pm) Evening (5pm-9:30pm) All Day Unavailable

* Thursday * Thursday: Morning (9:30am-noon) Afternoon (noon-5pm) Evening (5pm-9:30pm) All Day Unavailable

* Friday * Friday: Morning (9:30am-noon) Afternoon (noon-5pm) Evening (5pm-9:30pm) All Day Unavailable

* Saturday * Saturday: Morning (9:30am-noon) Afternoon (noon-5pm) Evening (5pm-9:30pm) All Day Unavailable

* Have you ever been convicted of a felony? * Have you ever been convicted of a felony?: Yes No

If yes, please explain**: If yes, please explain**

**You need not disclose a conviction:

a) that was judicially expunged or sealed or b) for a marijuana-related offense over 2 years old or c) if you completed a pre- or post-trial diversion program or d) for a misdemeanor for which probation was successfully completed (or discharged).

A conviction will not necessarily be a bar to employment.

Education

* Highest grade obtained:

* College:

Degrees Held: Degrees Held:

* Name of Last School Attended: * Name of Last School Attended:

List training or trade school: List training or trade school:

Which computer programs and software can you operate? (example: Microsoft Office): Which computer programs and software can you operate? (example: Microsoft Office)

Other related knowledge, skills or abilities:: Other related knowledge, skills or abilities:

Accomplishments

Please list positions of leadership, activities, honors, and accomplishments in school or business for which you are proud: Please list positions of leadership, activities, honors, and accomplishments in school or business for which you are proud

References

List a school, business, or personal reference that you give permission for us to contact. They should not be related to you.

* Reference Name: * Reference Name:

* Reference Phone: * Reference Phone

* Known How Long: * Known How Long:

* Relationship to You * Relationship to You: School Work Personal

* Reference Name: * Reference Name:

* Reference Phone: * Reference Phone

* Known How Long: * Known How Long:

* Relationship to You * Relationship to You: School Work Personal

Last Employer

* Start Date: * Start Date

End Date (if current employer, leave blank): End Date (if current employer, leave blank)

* Employer Name: * Employer Name:

* Employer Address: * Employer Address:

* Type of Business: * Type of Business:

* Salary/Hourly? * Salary/Hourly?: Salary Hourly

* Starting Pay: * Starting Pay:

* Ending Pay: * Ending Pay:

* Hours Per Week: * Hours Per Week:

* Position: * Position:

* Reason for Leaving: * Reason for Leaving:

* Duties Performed: * Duties Performed

* Supervisor's Name: * Supervisor's Name:

* Phone Number: * Phone Number

* May We Contact? * May We Contact?: Yes No

I hearby authorize TZC to thoroughly investigate my background, references, employment record and other matters related to my suitability for employment.

I authorize persons, schools, my current employer (if applicable) and previous employers and organizations contacted by TZC

to provide any relevant information regarding my current and/or previous employment and I release all persons, schools, employers of any and all claims for providing such information.

I understand the misrepresentation or omission of facts may result in rejection of this application, or if hired, discipline up to and including dismissal.

I understand that I may be required to sign a confidentiality and /or non-compete agreement, should I become an employee of TZC

I understand nothing contained in this application, or conveyed during any interview, which may be granted, is intended to create an employment contract.

I understand that filling out this form does not indicate there is a position open and does not obligate TZC to hire me.

I understand that me employment is at will, which means that it is for no specified period and may be terminated by me or TZC at any time without prior notice for any reason.

* Date: * Date

* Signature: * Signature:

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