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About Us
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Employment
Employment
Name (Required)
Name (Required)
Phone
Phone
Email (Required)
Email (Required)
Street
Street
City
City
State/Province
State/Province
Zip/Postal Code
Zip/Postal Code
Desired rate of pay
Desired rate of pay
What position are you applying for? (Required)
What position are you applying for? (Required)
How many hours would you like to work per week?
How many hours would you like to work per week?
Are you willing to work overtime when hours are available?
Yes
No
Work references we may contact:
Work references we may contact:
High School Name, Year of Graduation, Degree/Major
High School Name, Year of Graduation, Degree/Major
College Name, Graduation Year, Degree/Major
College Name, Graduation Year, Degree/Major
Employer
Employer
Dates of Employment
Dates of Employment
Reason for Leaving
Reason for Leaving
Position & Duties
Position & Duties
Supervisors Name/ May we Contact?
Supervisors Name/ May we Contact?
Employer
Employer
Dates of Employment
Dates of Employment
Dates of Employment
Dates of Employment
Position & Duties
Position & Duties
Supervisors Name/ May we Contact?
Supervisors Name/ May we Contact?
Sunday 8am - 12am
Sunday 8am - 12am
Monday 11am - 12am
Monday 11am - 12am
Tuesday 11am - 12am
Tuesday 11am - 12am
Wednesday 11am – 12am
Wednesday 11am – 12am
Thursday 11am – 12am
Thursday 11am – 12am
Friday 11am – 2am
Friday 11am – 2am
Saturday 11am – 2am
Saturday 11am – 2am
Are there any days you are not available?
Are there any days you are not available?
Do you have your own transportation?
Yes
No
Have you ever plead guilty or no contest to, or been convicted of any criminal offense other than minor traffic violations?
Yes
No
List 3 words that describe your character:
List 3 words that describe your character:
What are your strengths?
What are your strengths?
Upload Your Application: (pdf, doc, docx):
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