Escape Joplin Application
Please Fill Out As Accurately As Possible. Also, Have Fun.
What is your full name?
Cell Phone Number
What is your date of birth?
What is your full address?
Have you been convicted of any misdemeanor or felony crimes, or have any pending charges against you?
If yes, please explain.
How will you get to work most days?
What position are you applying for?
What starting hourly rate are you seeking?
How many hours per week are you seeking?
When could you begin working here?
Can you work:
Daytime (8am - 4pm)
Evenings (4pm - 11pm)
Weekends ( Friday, Saturday)
More than 8 hour shifts
Short notice ( call-in shift )
If employed with us, do you plan to work somewhere else as well?
I plan to keep my current job and work here.
I plan to find a second job while working here.
Ain’t nobody got time for that!
Are you seeking an employer that provides any of the following:
Life and Disability Insurance
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