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Employment

Contact Information

Name
Phone
Email

Contact Address

Street
City
State/Province
Zip/Postal Code

Requested Information

Desired rate of pay
What position are you applying for?
How many hours would you like to work per week?
Are you willing to work overtime when hours are available?
Are there any days you are not available?
Do you have your own transportation?
Have you ever plead guilty or no contest to, or been convicted of any criminal offense other than minor traffic violations?
List 3 words that describe your character:
What are your strengths?
Upload Your Application:

Education

High School Name, Year of Graduation, Degree/Major

Education

College Name, Graduation Year, Degree/Major

Work Experience

Employer
Dates of Employment
Reason for Leaving
Position & Duties
Supervisors Name/ May we Contact?

Second Work Experience

Employer
Dates of Employment
Dates of Employment
Position & Duties
Supervisors Name/ May we Contact?

Work Availability / Business Hours

Sunday 8am - 12am
Monday 11am - 12am
Tuesday 11am - 12am
Wednesday 11am – 12am
Thursday 11am – 12am
Friday 11am – 2am
Saturday 11am – 2am

REFERENCES

Work references we may contact: