Name: Electric Cowboy Little Rock
Price range: $

Thank you for your interest in an employment opportunity with Electric Cowboy! We’ve left most fields as optional just in case you have an application or resume prepared for submission, but note there are some required fields. You’ll find an opportunity to attach files at the end of this application form.

Employment Application

Step 1 of 3 - Personal Information

33%

Which Positions Are You Interested In?

How Did You Hear About This Opportunity?

First Name

Middle Name

Last Name

Email address

Phone/Mobile

Address

Address Line 1

Address Line 2

City

State

Zip Code

Other name(s), if any, under which you have been poreviously employed by our organization?

Column 1

Relatives, if any, that currently work for us or our competitors?

Name	Relationship	Employer

Have you ever applied to this organization before?

Yes

No

Have you ever been employed by this organization before?

Yes

No

What hours and days are you available for work? Or are there specific days and times that you cannot work?

Do you have any commitments that might prevent you from working the assigned shifts?

Yes

No

Do you have a reliable method of getting to work?

Yes

No

Can you perform the duties of the job for which you are applying?

Yes

No

Any education or military training relevant to the position for which you are applying?

List 3-5 people we may contact who are qualified to evaluate your capabilities. Do not include relatives. (Click the + button to add a new row)

Name	Phone	Relationship	Years Know

Employment History

Give employment record as completely as possible listing current or most recent employer first. Show unemployed or self-employed periods and indicate dates and comment on each period. Include part time or summer work.

Most recent employment experience:

Company Name

Location

Supervisor Name

Job Duties

Dates Employed

Reason For Leaving

May we contact this employer?

Yes

No

Second most recent employment experience:

Company Name

Location

Supervisor Name

Job Duties

Dates Employed

Reason For Leaving

May we contact this employer?

Yes

No

Third most recent employment experience:

Company Name

Location

Supervisor Name

Job Duties

Dates Employed

Reason For Leaving

May we contact this employer?

Yes

No

If you would like to upload a resume, cover letter, or other documents, you may do so here.

Choose File(s)

Acknowledgement

I authorize you to verify the information listed above. I certify that the information contained in this employment application is accurate and truthful. I understand that providing false information on this application may be grounds for not offering me employment or for the termination of my employment at any point in the future.

Have you ever been convicted of a felony?

No

Yes

Are you at least 21 years of age?

No

Yes

I have the legal right to work in the United States.

I will comply with the safety, work, and attendance policies of the organization.

I agree to a drug screening at the company’s expense.

I agree to a criminal background check at the company’s expense.

Digital Signature

Employment History

Acknowledgement

Socials

Contact

Hours

Thursday	7:30 PM - 2:00 AM
Friday	8:00 PM - 5:00 AM
Saturday	8:00 PM - 5:00 AM