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Employment application
applicants must be at least 18 years of age
Phone Number
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Email
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Name
*
First
Last
Address
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Line 1
Line 2
City
State
Zip Code
Country
Are you either a United States citizen or legally entitled to hold employment of the kind for which you are applying in the United States? *
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Yes
No
Employment Desired
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Part Time
Full Time
Date You Can Start
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Please list ALL hours you are available to work for each day of the week:
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Tell us a little bit about yourself.
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References (at least 3): Name, Phone, Years Aquainted
*
Employment History
Name of Business; Time Period worked; Position & Duties; Any Additional Information
(Please list most recent employment first)
Previous Employment #1
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Previous Employment #3
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Previous Employment #2
*
Previous Employment #4
*
I authorize investigation of all statements contained in this application. I understand that misrepresentation or omission of facts called for is cause for dismissal. Further, I understand and agree that my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without any previous notice and further understand and agree, that if employed in a position that has access to trade secrets, I may be required to sign a confidentiality agreement.
Name
*
Date
*
Submit
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