Palama Supermarket Job Application
Please fill out the form below. If you have any questions, please contact Heather Lim at hyun.palama@gmail.com. Aloha! 
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Today’s date *
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Applying Location *
Required
Applying Position *
Required
Full Name *
Date of Birth *
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Cell Phone Number *
Email address *
Home Address *
Please select available shifts
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday (N/A for Warehouse)
Morning (8am-4pm)
Afternoon (12pm-9pm) - N/A for Warehouse
Desired Position Type
Have you ever been employed by Palama Supermarket before?
 *
Required
Desired Pay ($/hr)
List your education background with graduation year (Include name of the school and its City&State) *
Recent Job experience with period and reason for leaving *
Available start date *
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Are you legally eligible to work in the US? *
Please list reference with relationship and phone number *
I certify that the information provided on this application form is accurate and complete to the best of my knowledge. I understand that any false statements or omissions may disqualify me from employment or may result in termination if already employed.

(Please write your name as a signature before submitting.)
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