Poplar Creek Spa does not discriminate on the basis of any legally protected characteristic under any applicable federal, state and local law.

Name

First Name

Last Name

Which position are you applying for?

I consent:

Poplar Creek Spa may check with my former and present employers, and professional, work, and personal references.

Yes

I understand that this application and other employer documents are not promises of employment.

Yes

I understand that, if hired, my employment with Poplar Creek Spa is subject to an introductory or trial period.

Yes

I certify that all of the information provided on this application and in the interview process is and will be true and complete in all respects, and if the information is found to be false, misleading, or unsatisfactory in any respect (in the employer’s judgment), I will be disqualified from consideration for employment or subject to immediate termination if discovered after being hired.

Yes

Prior names

Please list any previous names or aliases.

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

I certify that I am over 18.

Yes

Work History

Please list the names of ALL present and previous employers in chronological order with present or most recent employer listed first. Information about former employers should include the employer’s name; address; phone number; email; dates of employment, position(s) held; name, position and contact information for last supervisor, and other relevant information. Please include part-time, seasonal, military service and all other employment. If self-employed, give company name and supply business references. **Failure to provide a complete work history may affect your eligibility for hire.**

Which are you seeking?

If hired, list the date you'd be available to start.

YYYY

Are you currently employed?

Yes

If so, where?

How many days of scheduled work did you miss in the last 24 months, not including vacations, holidays and other approved leave?

Please explain any gaps in your employment history, accounting for all periods of time including military service and any period of unemployment.

If hired, can you provide proof that you are legally entitled to work in the U.S.?

Yes

If no, what steps must be taken for you to begin employment lawfully?

Have you ever been terminated or asked to resign from any job?

Yes

If yes, please explain the circumstances.

May we contact your current employer?

Yes

If no, why not?

Do you have any friends or relatives working for Poplar Creek Spa? If so, provide name(s) and relationship.

How did you hear about this job?

Do you have any commitments which could affect your employment with Poplar Creek Spa if hired (for example, an employment agreement, a non-competition or non-solicitation agreement, etc.)?

Is there anything that may affect your ability to be employed for an extended period? If so, please explain.

Education

Please list school names, address, course or major of study, specialized certifications, professional or occupational registration, licensure or certification, internships or externships, experience, skills, training, curricula, or extracurricular activities, as applicable.

Have you ever plead no contest, nolo contendere, or guilty to a misdemeanor crime, or been convicted of a misdemeanor crime?

Yes

Have you ever plead no contest, nolo contendere, or guilty to a felony crime, or been convicted of a felony crime?

Yes

Answering ‘yes’ to either of these questions does not constitute an automatic bar to employment. The Company will consider the nature of the crime, its seriousness, the substantial relation to the position’s functions and qualifications, the number of occurrences, the applicant’s age at the time of the crime, the time elapsed since the crime, the applicant’s entire work and educational history, employment references and recommendations, and the business necessity of any exclusion when required by law.

Signature

Your typed full name will serve as your electronic signature.

Today's Date

This application will only be considered active for 30 days.

YYYY

Poplar Creek Spa

Gift Cards

Hours