Lui Lui Application for Employment
Name
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Social Security Number
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Days available
Required
Date of Application
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Cell Phone Number
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Home Phone Number
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Present Address
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If under 18 please list age:
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Email Address
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Which location would you like to work at?
Position applied for
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Hourly Rate Desired
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How many hours can you work weekly?
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Have you ever worked for Lui Lui before?
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If so, when and at what position?
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Employment desired
Are you eligible to work in the United States?
Have you ever been convicted of a crime?
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.
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What is your means of transportation to work?
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Work Experience
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
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Additional Information
Please summarize any additional information necessary to describe your qualifications for the specific position you are applying for.
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May we contact your previous employers?
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Did you complete this application yourself?
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