Interested in joining the Long Beach team?

Position Applying For:Select

First Name

Last Name

Address

City

State

Zip

Phone

Email

Date Available to Start

Background

Date of Birth:

Are you a US citizen, or are you authorized to work in the US?—Please choose an option—YesNo

Have you ever been convicted of a felony?—Please choose an option—YesNo

If yes, please explain:

Education

High School:

College:

Briefly describe any retail experience:

How knowledgeable are you about adult products?

What other skills/qualifications do you have that would add to our team?

Work History

Work #1

Work #2

Work #3