13 Coins® Employee Application
This Company is an equal opportunity employer. In all our employment practices, including hiring, we are firmly committed to equal opportunity without regard to race, religion, color, sex, age, national origin, citizenship, sexual orientation, disability or any other basis of discrimination prohibited by applicable local, state or federal law. No question on this application is used for the purpose of limiting or excluding any applicant's consideration for employment on such grounds.
Personal Information
First and Last Name *
Your answer
Contact Number *
Your answer
Contact Email *
Your answer
Home Address *
Your answer
City, State, ZIP *
Your answer
Which position are you applying to? *
Required
Years of Experience *
Your answer
Are you 18 or older? *
If under 18, your Date of Birth
Your answer
Did any employer, school or reference know you by another name? *
If Yes, indicate other name
Your answer
Where did you hear about us? *
Your answer
Who referred you to our company? *
Your answer
What wage or salary do you expect to earn per hour? *
Your answer
Availability
Which location are you willing to work at? *
Required
If hired, when could you start? *
How many hours per week are you available for work? *
Your answer
Do you have access to reliable transportation? *
Education
High School Name *
Your answer
City, State *
Your answer
Your Last Grade Completed *
Your answer
Graduated? *
Still Enrolled? *
College/Trade School Name
Your answer
City, State
Your answer
Last Grade Completed
Your answer
Graduated?
Still Enrolled?
Course/Major Degree(s) or Certification(s)
Your answer
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