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* Indicates required question
Last Name
*
Your answer
First Name
*
Your answer
Street Address
*
Your answer
City/State/Zip
*
Your answer
Phone 1
*
Your answer
Email
*
Your answer
Are you a FBFC Owner?
*
Yes
No
Are you at least 18 years old?
*
Yes
No
Have you ever volunteered at FBFC before?
*
Yes
No
Have you ever been employed by FBFC before?
*
Yes
No
How Did You Learn About Openings At FBFC?
*
website | independent ad | posted at store | current employee (name) | other
Your answer
INDICATE YOUR INTEREST IN WORKING IN THE DEPARTMENTS
*
Grocery
Deli
Produce
Herbs/Vitamins/Bodycare
Cashier
Administrative
Required
Can you lift 50 lbs. intermittently?
*
Yes
No
Other:
Required
If you checked Grocery or Produce, can you lift 60 lbs. repeatedly?
*
Yes
No
Didn't check grocery or produce
Required
Indicate any department where you have a special interest:
Your answer
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