Application for Employment
Applicants are considered for all positions regardless of race, ethnicity, religion, gender, national origin, age, disability, sexual orientation, citizenship, marital or veteran status, or the presence of a non-job related medical condition or disability.

Please complete the entire application, even if you are submitting a resumé (upload a resumé after completing the application.)
Personal Information
First Name:   Last Name:  Middle Initial:  
Street Address:   City:  
State:   Zip:  Phone:  Email:  
Are you legally authorized to work in the United States?  Yes    No
Can you perform the essential duties of the job for which you are applying without an accommodation?  Yes     No
Desired position:  Desired salary:  

Business Hours
Mon.-Fri.   7am-11pm
Sat.-Sun.   8am-9pm
All employees must work a Saturday or a Sunday!
Availability
Full-Time (36+ hours per week)    Part-Time    On-Call/Temp
Monday   Tuesday   Wednesday   Thursday   Friday   Saturday   Sunday
Weekdays:    Earliest time available:    Latest time available:
Weekends:    Earliest time available:    Latest time available:
Minimum numbers of hours desired per week: Maximum number of hours per week desired:
Date available to start working:
How were you referred to us?  Online   Newspaper   Employee (name):    On my own   Other (specify ):

Education
High School:    Name: City & State:
College:    Name: City & State: Major:
Other:    Name: City & State: Major/Subject:
List certifications, scholarships, awards, honors received:

Indicate languages you speak or write fluently (English is presumed):

Have you been convicted of a misdemeanor or felony in the past 10 years? Yes    No
If yes, please explain:

Employment History
Please list your 3 most recent employers, starting with the most recent. Please complete this section of the application, even if you are uploading a resumeé.
Last or present employer
Company Name: Supervisor's Name:
Phone: Employed from (month and year): to: Salary:
Job title and description:

Reason for leaving:
Previous employer
Company Name: Supervisor's Name:
Phone: Employed from (month and year): to: Salary:
Job title and description:

Reason for leaving:
Previous employer
Company Name: Supervisor's Name:
Phone: Employed from (month and year): to: Salary:
Job title and description:

Reason for leaving:

Professional References (only professional references, not personal references)
Reference 1
Name: Company/Title: Phone:
Reference 2
Name: Company/Title: Phone:
Reference 3
Name: Company/Title: Phone:



APPLICATION SCREENING:

Please select yes or no for the following questions:
  1. Yes No -- Are you able to commit to a minimum of 25-30 hours per week?
  2. Yes No -- Do you have a Personal Computer (PC) that meets the company's defined requirements (our system is not compatible with the Mac):
    • Operating System: Windows XP, Windows Vista, or Windows 7
    • Browser: Internet Explorer 7.0 or later
    • Antivirus: Established brand (Norton, AVG, etc.) configured to receive updates and scan PC daily.
    • Microsoft Office, including Microsoft Word and Excel WinZip, Adobe Acrobat reader. - Free download available on the Web
  3. Yes No -- Have you ever completed an online training program, online coursework or instructor led webinar?
  4. Yes No -- Can you type a minimum of 35 words per minute?
  5. Yes No -- Have you ever used any type of chat forum, such as AOL Instant Messenger, Google Chat or Yahoo Messenger?
  6. Yes No -- Have you ever worked in a position that required a minimum of 3-4 hours of time on the phone day with customers or sales prospects (inbound or outbound)?
  7. How many times have you ordered something online in the past 30 days?
      0-2
      2-5
      5-10
      more than 10
  8. How many hours per day do you spend on the computer?
      0-1
      1-3
      3-5
      more than 5
  9. Yes No -- Have you ever had sales training in your past employment positions?
  10. Yes No -- Have you been paid on a bonus or commission plan in any of your prior work experience?
  11. Yes No -- Are you able to commit to working at least one weekend day every week?

I certify that the information contained in this application is correct to the best of my knowledge and understand that falsification of this information is grounds for dismissal. I authorize the references listed above to give Blooms Today (the Company) any and all information concerning my previous employment, including any other pertinent information they may have, personal or otherwise. In consideration of my employment, I agree to conform to the practices, rules, and regulations of the Company and my employment and compensation can be terminated at-will, with or without cause, and with or without notice, at any time, at the option of either the company or myself.