Application for Employment
(Valid for only 90 days)
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Email *
An Equal Opportunity Employer
Please answer all the required * questions. Resumes are not accepted in lieu of the completion of this application.
What is your first, middle initial, and last name? *
What is your social security number? *
(numbers only)
What is your current/present address? *
(Please provide your full address, including city, state, and zip Code)
Telephone/mobile number *
(numbers only)
Which position are you applying for? *
What is your desired salary? *
Hourly, daily, or yearly (enter a dollar amount)
Only U.S. Citizens or aliens who have a legal right to work in the U.S. are eligible for employment. Can you, upon employment, submit documentation verifying your legal right to work in the U.S. and your identity? *
Are you over 18 years of age? *
Do you have a valid, Florida, driver license? *
If you answered yes, do you have any traffic infractions in the last (3) years? *
If you answered yes, list all traffic infractions within the last 3 years. *
Have you ever been convicted of a felony? *
If you answered yes, list all felonies, and the state in which you were convicted. *
Do you have any physical limitations that would prevent you from heavy lifting and/or extreme heat? *
If you answered, yes, explain here
Do you have reliable transportation to work? *
If you answered, no, please explain here.
Will you work overtime and/or weekends if asked? *
If you answered, no, please explain here.
Are there any hours, shifts, or days you will not work? *
If you answered yes, explain here.
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