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Lui Lui Application for Employment
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* Indicates required question
Name
*
Your answer
Social Security Number
*
Your answer
Days available
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Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Required
Date of Application
*
Your answer
Cell Phone Number
*
Your answer
Home Phone Number
Your answer
Present Address
*
Your answer
If under 18 please list age:
Your answer
Email Address
Your answer
Which location would you like to work at?
*
Lui Lui in West Lebanon
Lui Lui in Nashua
Position applied for
*
Your answer
Hourly Rate Desired
*
Your answer
How many hours can you work weekly?
*
Your answer
Have you ever worked for Lui Lui before?
*
Your answer
If so, when and at what position?
Your answer
Employment desired
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FULL-TIME only
PART-TIME only
FULL or PART-TIME
Are you eligible to work in the United States?
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Yes
No
Have you ever been convicted of a crime?
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Yes
No
If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation.
Your answer
What is your means of transportation to work?
*
Your answer
Work Experience
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Please provide information regarding your last 3 employers listed from most recent to least recent. The following 6 pieces of information must be listed for each employer: 1. EMPLOYER ADDRESS 2. PHONE NUMBER 3. NAME OF SUPERVISOR 4. DATES OF EMPLOYMENT 5. POSITION HELD 6. REASON FOR LEAVING
Your answer
Additional Information
Please summarize any additional information necessary to describe your qualifications for the specific position you are applying for.
Your answer
May we contact your previous employers?
*
Your answer
Did you complete this application yourself?
*
Yes
No
Other:
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