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Employment Application
Email address *
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
Afterglow Location *
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
:
Email Address
Your answer
Personal History
If you are under 18, can you provide required proof to work? *
Have you ever filed an application with us before? *
Are you currently employed? *
May we contact your current employer *
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status? *
Employment status desired
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) *
Name of High School
Your answer
Years attended
Your answer
Did you attend college / technical school
Your answer
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