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Employment Application
* Required
Email address
*
Your email
Application Date
*
MM
/
DD
/
YYYY
Personal Information
First Name
*
Your answer
Middle Name
Your answer
Last Name
*
Your answer
Social Security Number
*
Your answer
Position Applying for
Detail Technician
Paint / Body Technician
Interior Technician
Procurement Specialist/Administrative Assistant
Other:
Afterglow Location
*
Northwest Arkansas
Mena, Arkansas
Shreveport, Louisiana
Tulsa, Oklahoma
Little Rock, Arkansas
Address
Street Address
*
Your answer
City
*
Your answer
Zip Code
*
Your answer
Contact Info
Home Phone Number
Your answer
Mobile Phone Number
Your answer
Best Time to Contact
Time
:
AM
PM
Email Address
Your answer
Personal History
If you are under 18, can you provide required proof to work?
*
Yes
No
Have you ever filed an application with us before?
*
Yes
No
Are you currently employed?
*
Yes
No
May we contact your current employer
*
Yes
No
Not applicable
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status?
*
Yes
No
Employment status desired
Full Time
Part Time
Temporary
What is your desired compensation rate?
*
Please designate hourly, monthly, annually
Your answer
Date available to begin working?
*
MM
/
DD
/
YYYY
Do you have a high school diploma or equivalent (GED)
*
Yes
No
Name of High School
Your answer
Years attended
Your answer
Did you attend college / technical school
Some College (no degree)
Technical School
University degree
Your answer
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