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Taichi Application
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Location
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Taichi Collegetown 1367 Mt Hope Ave, Rochester, NY 14620
Taichi Henrietta 3300 W Henrietta Rd, Rochester, NY 14623
Taichi Irondequoit Suit #1, 2255 East Ridge Road, Irondequoit, NY 14622
Taichi Pittsford 3300 Monroe Ave, Rochester, NY 14618
Taichi Sherridan Plaza 2309 Eggert Rd, Tonawanda, NY 14150
Taichi Mt Pleasant 1035 Old U.S. 27, Mt Pleasant, MI 48858
Taichi Gunbarrel 1820 Gunbarrel Rd #500, Chattanooga, TN 37421
Taichi Chattanooga Downtown 11 Broad St Ste 111, Chattanooga, TN 37402
Other
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If chose "other location", please type which one
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First Name
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Middle Name
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Last Name
*
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Street Address
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City
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State
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Zip Code
*
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Phone Number
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Email Address
*
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Are you at least 18 years of age? (If No, a permit will be required upon hire)
*
Yes
No
Are you a citizen of the United States? (If no, an authorization of employment will be required upon hire)
*
Yes
No
Do you speak any other language other than English?
*
Yes
No
If Yes, what language?
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Have you ever been convicted felony?
*
Yes
No
If Yes, please explain:
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Job Type
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Full Time
Part Time
Seasonal
Temporary
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Availability
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Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
9am - 3pm
2pm - 7pm
6pm - 11pm
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
9am - 3pm
2pm - 7pm
6pm - 11pm
Highest Education (school name, year attended, graduated? degree)
*
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References 1 (name, relationship, phone number)
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References 2 (name, relationship, phone number)
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Previous Experience 1 (company, address, wage, reason for leaving, job title)
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Previous Experience 2 (company, address, wage, reason for leaving, job title)
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Previous Experience 3 (company, address, wage, reason for leaving, job title)
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Signature
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Date
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