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 *
Contact Number *
Contact Email *
Home Address *
City, State, ZIP *
Which position are you applying to? *
Years of Experience *
Are you 18 or older? *
If under 18, your Date of Birth
Did any employer, school or reference know you by another name? *
If Yes, indicate other name
Where did you hear about us? *
Who referred you to our company? *
What wage or salary do you expect to earn per hour? *
Which location are you willing to work at? *
If hired, when could you start? *
How many hours per week are you available for work? *
Do you have access to reliable transportation? *
High School Name *
City, State *
Your Last Grade Completed *
Graduated? *
Still Enrolled? *
College/Trade School Name
City, State
Last Grade Completed
Clear selection
Still Enrolled?
Clear selection
Course/Major Degree(s) or Certification(s)
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