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Cozy Living Community Job Application Form
The facts set forth in my application are true and complete. I understand that if employed, false statements on this application will be sufficient cause for dismissal.
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Email *
Full Name *
Address *
Phone number *
Last 4 of Social Security Number *
Date of Birth *
MM
/
DD
/
YYYY
Which position(s) are you interested in? *
Required
Which location(s) are you interested in? *
Required
Are you eligible for employment in the USA? *
Which shifts can you work? *
Required
Are you a smoker *
List education including school name, dates completed, diploma or degree. *
List work history, including company name, address, position, dates employed, salary, supervisor name, and reason for leaving. *
List 2-3 personal and professional references. Include Name, email address, and phone number. *
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