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About Us
About Us
Services
Retail Services
Retail Channels
Retail Technology
Retail Technology
Be An Instore Vendor
InStore Reporterâ„¢
Contact
Call Us: 980-326-4723
CA Docusign Intake Form
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CA Docusign Intake Form
Natural Insight # (Provided by Instore)
(Required)
Position(s) Applied For
(Required)
Date of Application
(Required)
MM slash DD slash YYYY
Basic Information
First Name
(Required)
Middle Name
(Required)
Last Name
(Required)
Address
(Required)
Street Address
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Main Phone
(Required)
Altenrate Phone
(Required)
Email
(Required)
Relevant Employment Experience
Name Of Employer
(Required)
Supervisor
(Required)
Address
(Required)
Street Address
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
Phone
(Required)
Dates Employed (Month/Year)
*
From
(Required)
MM slash DD slash YYYY
To
(Required)
MM slash DD slash YYYY
Job Title
(Required)
Duties
(Required)
Reason for leaving
(Required)
May we contact?
Yes
No
Have you ever been involuntarily terminated or asked to resign from any job?
Yes
No
If yes, Please explain
Please list any other experience, job related skills, additional languages, or other qualifications that you believe should be considered in evaluating your qualification for employment.
General Information
If hired, would you have a reliable means of transportation to and from work?
Yes
No
Can you travel if the position requires it?
Yes
No
Are you at least 18 years old?
Yes
No
Note: If under 18, hire is subject to verification that you are of minimum legal age
If hired, can you present evidence of your identity and legal right to work in this country?
Yes
No
Are you able to perform the essential job functions of the job for which you are applying with or without reasonable accommodation?
Yes
No
Note: We comply with the ADA and consider reasonable accommodation measures that may be necessary for qualified applicants/employees to perform essential job functions.
Applicant Statement and Agreement
Please read the statements below. On the next step you will be required to sign in agreement of each one.
If hired, I understand and agree that my employment in the Company is at-will, and that neither I, nor the Company is required to continue the employment relationship for any specified term. I further understand that the Company of I may terminate the employment relationship at any time, with or without cause, and with or without notice. I understand that that the at-will status of my employment cannot be amended, modified, or altered in any way by any oral modifications.
I hereby authorize the Company to thoroughly investigate my record and other matters related to my suitability for employment and, further, authorize the prior employers I have listed to disclose to the Company any and all letters, reports, and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release the Company, my former employers, and all persons, corporations, partnerships, and associations from and all claims, demands, or liabilities arising out of or in any way related to such investigation or disclosure.
In the event of my employment with the Company, I understand that I am required to comply with all rules and regulations of the Company.
I understand that the safety of employees is extremely important to the Company and that the Company is committed to ensuring a safe working environment. I understand that I, and every employee, have a responsibility to prevent accidents and injuries by observing all safety procedures and guidelines and following the directions of my supervisor and site manager in store locations. I under tand and agree to comply with federal, state, and local regulations related to on-the-job safety and health.
I hereby certify that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejection of this application or immediate discharge if I am employed, regardless of the time elapsed before discovery.
I understand that if I am selected for hire, it will be necessary for me to provide satisfactory evidence of my identity and legal authority to work in the United States and that federal immigration laws require me to complete an I-9 Form in this regard.
I understand that if any term, provision, or portion of this Agreement is declared void or unenforceable, it shall be severed, and the remainder of this Agreement shall enforceable.
Documents Required on Next Step:
Driver's License
Social Security Card
Thank you for completing the required information, click the button below to generate your docusign forms and proceed to sign and upload your ID.