Berkley Chop Shop Employment Application

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Full Name *

Address *

City *

State *

Zip Code *

Email address *

Phone Number *

Date available to start *

YYYY

If you are under 18 can you provide a work permit?

Yes

Clear selection

Have you ever worked for the Berkley Chop Shop before? *

Yes

Are you a legal US citizen? *

Yes

If you are not a legal US citizen, are you legally allowed to work in the US?

Yes

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

If yes, give dates and details:

Summarize your special skills, experience or qualifications: *

Describe any education you have had that would apply to this position:

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.

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.

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.

Submit

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