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Name *
Street
City
State
Zip
Home Phone #
Cell Phone #
How did you hear about this position?
Are you a U.S. Citizen?
Are you legally authorized to work in the U.S.? *
Are you over 18 yrs. old?
Valid Driver's License? *
Email Address
Emergency Contact
Name?
Phone #
Relation to you?
Employment Desired
Are you seeking Full-Time, Part-Time, Temporary or Summer Employment? *
Position applying for *
Desired Minimum Pay
Date available to start *
MM
/
DD
/
YYYY
Time Off Needed
Have you ever applied at Landry Designs before?
If "yes", please explain
Is there any reason you could not perform the essential functions of the job for which you are applying, with or without reasonable accommodations? *
If yes, please explain.
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