Repair-A-Pod Employment Application
Thank you for your interest in joining our team! It is the policy of Repair-A-Pod to provide equal employment opportunities to all applicants and employees without regard to any legally protected status such as race, color, religion, gender, national origin, age, disability or veteran status.
Personal Information
This section will gather your personal information.
Full Name *
Your answer
Date Of Birth (MM/DD/YYYY) *
Your answer
Gender
Last 4 Of SSN *
Upon hire, you will need to bring a verifying document to confirm the information you entered (social security card, birth certificate, etc)
Your answer
Legal Identification Or License Number *
Upon hire, you will need to bring a verifying document to confirm the information you entered (state issued identification, driver's license, etc)
Your answer
Are you legally eligible for employment in the United States? *
Have you ever been convicted of any crime, including traffic violations? *
If Yes, Please Select "Other" And Describe.
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Phone number *
Your answer
Email *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
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