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Employment Application
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* Indicates required question
Date of application:
*
MM
/
DD
/
YYYY
Position(s) applying for:
Your answer
Personal Information
Name:
*
Your answer
Address:
*
Your answer
Phone number:
*
Your answer
Are you 16 or older?
*
Yes
No
Required
Are you 18 or older?
*
Yes
No
Required
Have you ever worked for this company before?:
*
Yes
No
Required
Are any of your relatives employed by this company?:
*
Yes
No
Required
If yes to the previous question, please list name(s), relationship and store location:
Your answer
Have you ever been convicted of a crime, excluding misdemeanors and traffic violations?:
*
Yes
No
Required
Wage expected per hour:
*
Your answer
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