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Employment Application
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Required
PERSONAL INFORMATION
Are you 18 Years or Older?
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Yes
No
If No, please list birth date.
Have you ever been convicted of a felony or serious misdemeanor?
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Yes
No
If Yes, please list dates and location(s).
Do you have relatives working with us?
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Yes
No
AVAILABILITY
Please indicate for which you are applying:
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Full Time
Part Time
Available Start Date
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Please indicate the times you are available to work:
DAY
SUN
MON
TUE
WED
THU
FRI
SAT
FROM
TO
EDUCATION
High School
College
Trade or Business
PREVIOUS EMPLOYMENT
Most Recent Company
Previous Company
May we contact your present employer?
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Yes
No
I certify that this form is accurate and completed to the best of my knowledge.