GREAT CAREERS WITH A GREAT COMPANY Do you enjoy helping people? Would you like a career that's fun, rewarding, and offers great benefits and a warm, friendly work environment? Would you like to be a part of a growing company with a great future? Consider a career with Quick Weight Loss Centers! Quick Weight Loss Centers has positions available in weight loss counseling and management. We offer free training and good benefits. Just fill out the online application form below and click to submit it to us and someone will contact you shortly! Thanks for considering a Quick Weight Loss Center career!

APPLICATION FOR EMPLOYMENT Name (First, Middle, Last) Address City State Zip Code Phone Position Desired Salary desired Available Start Date Are you currently employed? yesno Ever applied to this company before? yesno If so, when and where? Highest education level achieved grammar school high school college trade,business,correspondence school If college graduate, in what area do you have a degree? Have you been convicted of a felony or misdemeanor in the last 5 years? yesno If so, please describe Height Weight Employment History (List last four employers, starting with most recent) Job #1 Dates Of Employment Employers name & address Salary Position Reason for Leaving Job #2 Dates Of Employment Employers name & address Salary Position Reason for Leaving Job #3 Dates Of Employment Employers name & address Salary Position Reason for Leaving Job #4 Dates Of Employment Employers name & address Salary Position Reason for Leaving Please list three persons not related to you whom you have known at least one year Reference #1 Reference #2 Reference #3 By checking this box I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative. Image Verification Please enter the text from the image: [ Refresh Image ] [ What's This? ]