KEVA Application Form
General information
Name: Last, First Middle *
Your answer
Email address *
Your answer
Street address (include apt number) *
Your answer
City *
Your answer
State *
Your answer
Zip code *
Your answer
Phone number to best reach you *
Your answer
Are you eligible to work in the United States? *
Are you 18 or older? *
Date of birth if under 18
Your answer
Have you ever been convicted of a felony or been incarcerated in connection with a felony? *
If yes, please explain:
Your answer
What position are you applying for? *
Required
How many hours per week are you looking for?
Times available (Select all that apply)
Early Morning
Day (Approximately 8am-6pm)
Late Afternoon
Night (Approximately 4pm-12am)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
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