Employment Application
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Full Name *
Contact Phone Number *
Email Address *
Home Address *
What are you applying for? *
What days and hours are you available to work? *
If hired, on what date can you begin working? *
MM
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DD
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Can you work weekends? *
Can you work evening? *
Salary desired? *
If hired, would you have transportation to/from work? *
Are you over the age of 18? (If under 18, hire is subject to verification of minimum legal age.) *
If hired, would you be able to present evidence of your U.S. citizenship or proof of your legal right to work in the United States? *
If hired, are you willing to submit to and pass a controlled substance test? *
Have you ever been convicted of a criminal offense (felony or misdemeanor)? *
Have you ever been convicted of a crime involving physical violence or sexual assault or abuse? *
Have you ever been convicted of a crime involving a minor? *
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