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Now hiring for all positions. Wages starting at $8.50 per hour
with increase to $9 per hour in 30 days after passing product test.
*Detailed resumes may be emailed to [email protected]

Employment Application
Please fill out all information
Today's Date*
MM
DD
YYYY
Social Security Number*
Name*
First Middle Intial Last
Phone*
Email
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Are you over 18? If not, what is your age?*
Do you smoke?*
- Yes
- No
Have you ever worked for Lic's? If yes, date and location*
Have you been referred by anyone currently employed at Lic's? Who?*
Type of employment desired:*
- Part-time
- Full-time
Availability: Total hours available per week*
Availability: Days available*
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
- Saturday
- Sunday
Store locations requested
- Diamond Ave – Evansville
- W. Virginia St – Evansville
- Lincoln Ave – Evansville
- Washington Ave – Evansville
- 5th St – Evansville
- Ruffian Ln – Newburgh
- Vincennes, IN
- Owensboro, KY
Do you have transportation to work?*
- Yes
- No
Are you legally able to be employed in the U.S.?*
- Yes
- No
Have you ever plead "Guilty", "No Contest", or been convicted of a crime? If yes, please provide dates and brief details.*
School Most Recently Attended
Name*
Location*
Last grade completed*
Grade Point Average*
Currently enrolled?*
- Yes
- No
Time last class ends*
Sports, activities, hobbies*
Most Recent Job 1
Company
From
MM
DD
YYYY
To
MM
DD
YYYY
Phone
Job
Supervisor
Salary
Reason for leaving
Most Recent Job 2
Company
From
MM
DD
YYYY
To
MM
DD
YYYY
Phone
Job
Supervisor
Salary
Reason for leaving
Other Jobs or Experience
List any relevant additional experience as you wish
Authorization
Applicant Signature*
In the event I am employed, I understand that false or misleading information given in my application or interview(s) may result in discharge.
Date*
MM
DD
YYYY

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Job Application

Employment Application

School Most Recently Attended

Most Recent Job 1

Most Recent Job 2

Other Jobs or Experience

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