Job application form
Our policy is to provide equal employment opportunity to all qualified persons without regard to race, creed, color, religious belief, age, sex, national origin, ancestry, physical or mental disability, or veteran status. 
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Date
MM
/
DD
/
YYYY
Name *
First and last name
Address (Street, City, State, Zip Code)
Social Security Number
Email *
Phone number *
Are you a U.S. citizen or otherwise authorized to work in the U.S. on an unrestricted basis? (You may be required to provide documentation.) *
Are you looking for full-time employment? *
If not, what hours are you available? *
Are you willing to work swing shift?
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Are you willing to work graveyard? *
Have you ever been convicted of a felony? (This will not necessarily affect your application.) *
If yes, please describe conditions. 
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