DALAGA INTERNSHIP APPLICATION

Last Name ______________________________ First______________________________ Middle _________________

Date of Application ________________  Date of Birth ________________________ If under 18, please list current age:  _________

Present Address _________________________________________________________________________________________

Cellphone ________________________________________  Email Address ____________________________________

Available Start Date.  Please be specific. _______________________________________________________________________

Please fill in the days you are available and specify what time you are available each day.

Dalaga's hours are Monday through Saturday 12-8pm Sunday 12-7.

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

SATURDAY

SUNDAY

If you are not available on any particular day please specify your reason. __________________________________________

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How many hours can you work weekly? ________  

Comments regarding the dates mentioned above... _____________________________________________________________

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List any dates and reasons you know you will need off in the next 4 months. (Include birthdays, weddings, medical appointments,

holidays, etc.)  ____________________________________________________________________________________________

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High School Education _________________________________________________________________________________  

Address __________________________________________________________________________________

From  ______________________ to ______________________ Did you Graduate?____________

Degree _______________________________________________________________

College Education _________________________________________________________________________________  

Address ______________________________________________________________________________________

From  ______________________ to ______________________ Did you Graduate?____________

Degree _______________________________________________________________

College Education _________________________________________________________________________________

Address ______________________________________________________________________________________

From  ______________________ to ______________________ Did you Graduate?____________

Degree _______________________________________________________________

Are you a US Citizen _____________________ Have you ever been convicted of a felony? ________________________________

If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed,

sentence(s) imposed, and type(s) of rehabilitation. _______________________________________________________

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Please tell us why you are seeking a position at Dalaga. ____________________________________________________________

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PLEASE LIST YOUR SKILL LEVEL IN THE FOLLOWING; 1 BEING LOWEST, AND 5 BEING HIGHEST

PC

MAC

EXCEL

WORD

ADOBE PHOTOSHOP

HTML

FLASH

WEB HOSTING

QUICKBOOKS

POS (POINT OF SALE)

SEW A BUTTON

BASIC HAND STITCH

HOME SEWING MACHINE

TAGGING GUN

RECEIVING MERCHANDISE

CUSTOMER SERVICE

PHONE ETIQUETTE

MULTI TASKING

MERCHANDISING

SALES

Do you like dogs? _______________Are you comfortable with walking the store dog occasionally as needed? ____________

Do strangers intimidate you? ________________________________________________________________________________

Are you self motivated?  ___________________________________________________________________________________

How long would you like to stay Dalaga?________________________________________________________________________

What would you like to learn from your experience at Dalaga?________________________________________________________

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Do you have a valid U.S. driver's license? _________________  What is your means of transportation to work? ________________


WORK EXPERIENCE from most recent to least recent.

COMPANY ________________________________________________  PHONE _______________________________________

Address  ___________________________________________Supervisor __________________________________________

Job Title _____________________________________________________________________________  

Starting Salary _________________________________________ Ending Salary _______________________________________

Responsibilities  __________________________________________________________________________________________

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Reason for Leaving ________________________________________________________________________________________

May we contact your current or previous employer? ____________________________________________________

COMPANY ________________________________________________  PHONE _______________________________________

Address  ___________________________________________Supervisor __________________________________________

Job Title _____________________________________________________________________________  

Starting Salary _________________________________________ Ending Salary _______________________________________

Responsibilities  __________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

Reason for Leaving ________________________________________________________________________________________

May we contact your current or previous employer? ____________________________________________________

COMPANY ________________________________________________  PHONE _______________________________________

Address  ___________________________________________Supervisor __________________________________________

Job Title _____________________________________________________________________________  

Starting Salary _________________________________________ Ending Salary _______________________________________

Responsibilities  __________________________________________________________________________________________

_______________________________________________________________________________________________________

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Reason for Leaving ________________________________________________________________________________________

May we contact your current or previous employer? ____________________________________________________

DISCLAIMER

I certify that my answers are true and complete to the best of my knowledge.  If this application leads to employment, I understand that

false or misleading information in my application or interview may result in my release.

Signature  _____________________________________________________________  Date _____________________________