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Berkley Chop Shop Employment Application
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* Indicates required question
Full Name
*
Your answer
Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Email address
*
Your answer
Phone Number
*
Your answer
Date available to start
*
MM
/
DD
/
YYYY
If you are under 18 can you provide a work permit?
Yes
No
Clear selection
Have you ever worked for the Berkley Chop Shop before?
*
Yes
No
Are you a legal US citizen?
*
Yes
No
If you are not a legal US citizen, are you legally allowed to work in the US?
Yes
No
Clear selection
What kind of employment are you seeking?
*
Full-Time
Part-Time
Seasonal
Temporary
Have you ever pled guilty, no contest, or been convicted of a crime?
*
Yes
No
If yes, give dates and details:
Your answer
Summarize your special skills, experience or qualifications:
*
Your answer
Describe any education you have had that would apply to this position:
Your answer
Previous employment
Begin with the most recent position. Include: The company name, city and state, position title, start and end date, a contact phone number, and your responsibilities there. Include your reason for leaving.
Your answer
Previous employment #2
Include: The company name, city and state, position title, start and end date, a contact phone number, and your responsibilities there. Include your reason for leaving.
Your answer
Previous employment #3
Include: The company name, city and state, position title, start and end date, a contact phone number, and your responsibilities there. Include your reason for leaving.
Your answer
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