Application For Employment

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It is the policy of the company to provide equal opportunity with regard to all terms and conditions of employment. The company complies with federal and state laws prohibiting discrimination on the basis of race, color, religion, creed, national origin, disability, veteran status, age, or any other protected characteristic.

Full Name: *

Phone: *

Address: *

City: *

State: *

Zip: *

Position Applied For: *

Preferred Shift: *

Any

Would you accept full-time work? *

Yes

Would you accept part-time work? *

Yes

Have you ever been employed here before? *

Yes

If the answer to the previous question is yes, when were you employed here?

Do you have a legal right to work in the U.S.? (If yes, proof is required) *

Yes

Are you of legal age to work? *

Yes

At what date are you available to start? *

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