Help Wanted

Name *

First

Last

Date of application *

Position applied for *

Select which locations you are applying for *

Glen Carbon, IL
Kirkwood, MO
O'Fallon, MO

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Home Phone *

Other Phone

Do you wish to work *

Full time?
Part time?

If part time, specify hours/days *

Date available to start work *

Have you previously applied here? *

Yes
No

If yes, when?

Have you previously been employed at Pottery Hollow? *

Yes
No

If yes, when?

Are any of your relatives employed with Pottery Hollow? *

Yes
No

If yes, please list name

Educational History

High School *

List Name and Year Graduated

College

List Name and Year Graduation

Other

List Name and Year Graduation

Work History

(Begin with most recent)

Employment #1

List Employer Name and Location

Employment #1

List Title, Salary & Dates

Employment #2

List Employer Name and Location

Employment #2

List Title, Salary & Dates

Employment #3

List Employer Name and Location

Employment #3

List Title, Salary & Dates

References

Reference #1 *

List Name, Relationship/Title, Phone Number, Years Known

Reference #2 *

List Name, Relationship/Title, Phone Number, Years Known

Reference #3 *

List Name, Relationship/Title, Phone Number, Years Known

Interested in Pottery Hollow employment?

Are you a people person? Creative? Self motivated?

Pottery Hollow is looking for creative and helpful individuals to make us a successful business!

Educational History

Work History

References

HOURS