KEVA Application Form
General information
Name: Last, First Middle *
Email address *
Street address (include apt number) *
City *
State *
Zip code *
Phone number to best reach you *
Are you eligible to work in the United States? *
Are you 18 or older? *
Date of birth if under 18
Have you ever been convicted of a felony or been incarcerated in connection with a felony? *
If yes, please explain:
What position are you applying for? *
Required
How many hours per week are you looking for?
Clear selection
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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